Individual provider Active NPI

Stanley Keith Frencher Sr., MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1659468379
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
046607 Issued in MI
Practice address
2395 W Grand Blvd
Detroit, MI 48208-1210
Phone
(313) 831-2442
Fax
(313) 831-2444
NPI assigned
Oct 5, 2006
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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 046607 MI Primary

Addresses

Primary practice location

2395 W Grand Blvd
Detroit, MI 48208-1210

Mailing address

2419 Pleasant View Dr
Rochester Hills, MI 48306-3147
Phone (248) 736-1077

Other identifiers 1

IdentifierTypeStateIssuer
1892628 TYPE 10MedicaidMI

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
I20040324001509 MI Practitioner - Internal Medicine 6305737578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Plaza Clinic CorporationGroup PAC ID 1951353846, 2 clinicians

Practice addresses (Care Compare)

2395 W Grand Blvd
Detroit, MI 48208-1210
Phone (313) 831-2442

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046607MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Plaza Clinic Corporation CurrentSince Aug 31, 2006 Accepting new patients
Detroit Health Care for the Homeless PastSince Aug 31, 2006 Accepting new patients
Trinity Medical Clinic Internal Medicine Past Accepting new patients

Locations

2395 W Grand Blvd
Detroit, MI 48208
Phone (313) 831-2442

Interoperability endpoints

  • Direct secure messaging: professionalplazaclinic.stanleyfrencher@149835.advancedmd-direct.com
  • Direct secure messaging: sfrencher702015@direct.hfhs.org

Organizations & group practices 3

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 4

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1659468379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 PLEASANT VIEW DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063147",
            "telephone_number": "248-736-1077",
            "fax_number": "313-579-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081210",
            "telephone_number": "313-831-2442",
            "fax_number": "313-831-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENCHER",
        "first_name": "STANLEY",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "046607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1892628 TYPE 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.