Active NPI
Frank Amprim, M.D.
- Family Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301047679
- Practice address
- 21540 W 11 Mile Rd
Suite# 200
Southfield, MI 48076-3843 - Phone
- (248) 352-2000
- Fax
- (248) 352-8800
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301047679 | MI | |
| Family Medicine Physician | 207Q00000X | 4301047679 | MI | Primary |
Addresses
Primary practice location
21540 W 11 Mile Rd
Suite# 200
Southfield, MI 48076-3843
Mailing address
PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.77 of 100
- Quality
- 75.13
- Promoting interoperability
- 88.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current | Accepting new patients | |
| At Home Physicians Managing Co | Current | Accepting new patients | |
| Mme Enterprises Inc | Past | Accepting new patients | |
| Davicare Home Medical Services PC | Past | Accepting new patients | |
| Oakland Diagnostic Imaging | Past | Accepting new patients |
Locations
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
14900 Middlebelt Rd
Livonia, MI 48154
Phone (734) 425-4200
3771 E 10 Mile Rd
Warren, MI 48091
Phone (877) 897-7477
3689 E 10 Mile Rd
Warren, MI 48091
Phone (877) 897-7477
Organizations & group practices 5
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.
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- Specialist
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-
- Internal Medicine Physician
- Bloomfield Hills, MI
- NPI 1033287966
-
- Cardiovascular Specialist/Technologist
- Southfield, MI
- NPI 1275637704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1639212269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1239",
"city": "TROY",
"state": "MI",
"postal_code": "480991239",
"telephone_number": "248-824-6600",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21540 W 11 MILE RD",
"address_2": "SUITE# 200",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763843",
"telephone_number": "248-352-2000",
"fax_number": "248-352-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMPRIM",
"first_name": "FRANK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301047679",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301047679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.