NPIMap

Individual provider Active NPI

Frederick Louis Lopatin, D.O.

  • Otolaryngology Physician
  • Dearborn, MI
National Provider Identifier
1659341691
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5101011463 Issued in MI
Practice address
22731 Newman St
Suite 120
Dearborn, MI 48124
Phone
(313) 582-8853
Fax
(313) 582-6417
NPI assigned
Jan 24, 2006
Last updated
Jul 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5101011463 MI
Otolaryngology Physician 207Y00000X 5101011463 MI Primary

Addresses

Primary practice location

22731 Newman St
Suite 120
Dearborn, MI 48124

Mailing address

4729 Maura LN
W Bloomfield, MI 48323-3626
Phone (248) 865-9678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000569 MI Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 7315011384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Michigan State University College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22731 Newman St
Suite 120
Dearborn, MI 48124-2043
Phone (313) 582-8853

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101011463MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick L Lopatin DO PC Otolaryngology CurrentSince Jun 7, 1998 Accepting new patients
Dearborn Hearing AIDS Inc PastSince Jul 1, 1999 Accepting new patients

Locations

22731 Newman St
Ste 120
Dearborn, MI 48124
Phone (313) 582-8852

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1659341691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 MAURA LN",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233626",
            "telephone_number": "248-865-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22731 NEWMAN ST",
            "address_2": "SUITE 120",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-582-8853",
            "fax_number": "313-582-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPATIN",
        "first_name": "FREDERICK",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5101011463",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "5101011463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.