Individual provider Active NPI

Andrew Freeth

  • Emergency Medicine Physician
  • Detroit, MI
National Provider Identifier
1659734804
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME145342 Issued in FL
Practice address
6071 W Outer Dr
Detroit, MI 48235-2624
Phone
(313) 966-1020
Fax
(313) 966-1024
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X ME145342 FL Primary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 4301116969 MI

Addresses

Primary practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Mailing address

PO Box 22067
Lansing, MI 48909-8016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190605001550 MI Practitioner - Emergency Medicine 8527349232 Reassigns benefits to 1 organization
I20200807000488 FL Practitioner - Emergency Medicine 8527349232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500

Hospital & facility affiliations

  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME145342FLMDEmergency Medicine Physician
4301116969MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecs Western Michigan PC Multi-Specialty CurrentSince Jul 1, 2019 Accepting new patients
Paragon Emergency Services LLC Multi-Specialty CurrentSince Aug 1, 2020 Accepting new patients
Cep America, LLC Multi-Specialty CurrentSince Jun 21, 2023 Accepting new patients
Cep America LLC Multi-Specialty CurrentSince Jun 21, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

8083 Parramore Rd
Jacksonville, FL 32244
Phone (904) 450-6760

9820 Hutchinson Park Dr
Jacksonville, FL 32225
Phone (904) 450-6740

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

Organizations & group practices 4

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 1

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1659734804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22067",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489098016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-1020",
            "fax_number": "313-966-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREETH",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME145342",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301116969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.