Active NPI
Pat T. Freeman, D.O.
- Family Medicine Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101013967
- Practice address
- 37650 Professional Center Dr
1010A
Livonia, MI 48154-1197 - Phone
- (732) 432-7070
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013967 | MI | Primary |
Addresses
Primary practice location
37650 Professional Center Dr
1010A
Livonia, MI 48154-1197
Mailing address
37650 Professional Center Dr
1010A
Livonia, MI 48154-1197
Phone (732) 432-7070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4503616 | Medicaid | MI |
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 Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000
16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033
16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033
37650 Professional Ctr Dr
Suite 1010a
Livonia, MI 48154-1117
Phone (734) 432-7070
47601 Grand River Ave
Novi, MI 48374-1233
Hospital & facility affiliations
- Ascension Providence Hospital, Southfield and Novi
- Henry Ford Health St John Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 56 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101013967 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Livonia Family Physicians, PC | Family Medicine | Past | Accepting new patients |
| Livonia Family Physicians, PC | Family Medicine | Past | Accepting new patients |
| Raskin Clinical Associates, P.C. | Family Medicine | Past | Accepting new patients |
Locations
37595 7 Mile Rd
Ste 480
Livonia, MI 48152
Phone (248) 844-6200
37650 Professional Center Dr
Ste 1010A
Livonia, MI 48154
Phone (248) 552-9858
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
22250 Providence Dr
Fl 5
Southfield, MI 48075
Phone (248) 849-3441
Interoperability endpoints
- pfreeman1127231@direct.hfhs.org
Organizations & group practices 6
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.
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1922063213
-
- Family Medicine Physician
- Brighton, MI
- NPI 1063677912
-
- Family Medicine Physician
- Livonia, MI
- NPI 1679544506
-
- Family Medicine Physician
- Westland, MI
- NPI 1831299700
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
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": "1396310400000",
"number": "1699745513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37650 PROFESSIONAL CENTER DR",
"address_2": "1010A",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541197",
"telephone_number": "732-432-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37650 PROFESSIONAL CENTER DR",
"address_2": "1010A",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541197",
"telephone_number": "732-432-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "PAT",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101013967",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4503616",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.