Individual provider Active NPI

Freny Sebastian, MD

  • Internal Medicine Physician
  • Eastpointe, MI
National Provider Identifier
1629698535
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301508772 Issued in MI
Practice address
17000 E 10 Mile Rd
Eastpointe, MI 48021-1263
Phone
(586) 563-5555
Fax
(586) 563-1778
NPI assigned
Apr 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301508772 MI Primary

Addresses

Primary practice location

17000 E 10 Mile Rd
Eastpointe, MI 48021-1263

Mailing address

17000 E 10 Mile Rd
Eastpointe, MI 48021-1263
Phone (586) 563-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606002006 MI Practitioner - Internal Medicine 9032540224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Primary Care PLLCGroup PAC ID 4486846250, 6 clinicians

Practice addresses (Care Compare)

17000 E 10 Mile Rd
Eastpointe, MI 48021-1263
Phone (586) 563-5555

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Ascension River District Hospital Hospital, East China, MI, CCN 230241

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
81.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301508772MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Primary Care PLLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

22101 Moross Rd
Ste 50
Detroit, MI 48236
Phone (313) 343-7774

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

17000 E 10 Mile Rd
Eastpointe, MI 48021
Phone (248) 909-9830

41400 Dequindre Rd
Ste 121
Sterling Hts, MI 48314
Phone (586) 843-3815

Interoperability endpoints

  • Direct secure messaging: fsebastian2586780@epic00.corewelldirect.org
  • Direct secure messaging: fsebastian1150724@direct.hfhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1629698535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 E 10 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211263",
            "telephone_number": "586-563-5555",
            "fax_number": "586-563-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 E 10 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211263",
            "telephone_number": "586-563-5555",
            "fax_number": "586-563-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "FRENY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301508772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

Verify at the official NPI Registry.