Individual provider Active NPI

Angela Marie Frost Ferrell, M.D.

  • Dermatology Physician
  • Wixom, MI
National Provider Identifier
1780893867
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301087997 Issued in MI
Practice address
49200 Wixom Tech Dr
Wixom, MI 48393-3560
Phone
(734) 344-4567
Fax
(734) 669-1104
NPI assigned
May 22, 2007
Last updated
May 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301087997 MI Primary

Addresses

Primary practice location

49200 Wixom Tech Dr
Wixom, MI 48393-3560

Mailing address

1979 Huron Pkwy
Ann Arbor, MI 48104-4141
Phone (734) 344-4567

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rondina@gangerderm.emadirect.md Health Information Exchange (HIE)

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
I20100331000254 MI Practitioner - Dermatology 9638205487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laura K Ganger MD PCGroup PAC ID 0143472373, 8 clinicians

Practice addresses (Care Compare)

49200 Wixom Tech Dr
Ganger Dermatology
Wixom, MI 48393-3560
Phone (734) 344-4567

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.18 of 100Reported as group
Quality
89.06
Promoting interoperability
94
Improvement activities
40
Cost
89.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions640
Removal or shaving of skin growth1-10
Skin biopsy223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laura K Ganger, M.D. P.C. Dermatology CurrentSince Jul 16, 2014 Accepting new patients

Locations

7397 Solutions Ctr
Chicago, IL 60677

1979 S Huron Pkwy
Ann Arbor, MI 48104
Phone (734) 344-4567

650 S Main St
Plymouth, MI 48170
Phone (734) 344-4567

49200 Wixom Tech Dr
Wixom, MI 48393
Phone (734) 344-4567

Interoperability endpoints

  • Direct secure messaging: aferrell1067606@direct.hfhs.org
  • Direct secure messaging: rondina@gangerderm.emadirect.md

Organizations & group practices 1

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 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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1780893867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044141",
            "telephone_number": "734-344-4567",
            "fax_number": "734-669-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49200 WIXOM TECH DR",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933560",
            "telephone_number": "734-344-4567",
            "fax_number": "734-669-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "ANGELA",
        "middle_name": "MARIE FROST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301087997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rondina@gangerderm.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct Mail Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1979 Huron Pkwy",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481044141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

Verify at the official NPI Registry.