Individual provider Active NPI

Lara Talya Fram

  • Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1821672197
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704343086 Issued in MI
Practice address
42557 Woodward Ave Ste 130
Bloomfield Hills, MI 48304-5206
Phone
(248) 454-1004
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 4704343086 MI
Nurse Practitioner 363L00000X 4704343086 MI Primary

Addresses

Primary practice location

42557 Woodward Ave Ste 130
Bloomfield Hills, MI 48304-5206

Mailing address

2889 Hastings CT
Oakland Township, MI 48306-4903
Phone (586) 354-1198

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319001132 MI Practitioner - Nurse Practitioner 2163944117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maan Ekkah MD PCGroup PAC ID 3870832785, 13 clinicians

Practice addresses (Care Compare)

8355 Highland Rd
White Lake, MI 48386-4618
Phone (248) 666-6005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitalists, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Maan Ekkah MD PC CurrentSince Feb 1, 2025 Accepting new patients
Rite Aid of Michigan Inc PastSince May 1, 2021 Accepting new patients

Locations

42557 Woodward Ave
Ste 130
Bloomfield Hills, MI 48304
Phone (248) 322-3088

10 W Square Lake Rd
Ste 103
Bloomfld Hls, MI 48302
Phone (248) 283-4000

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

8355 Highland Rd
White Lake, MI 48386
Phone (248) 666-6005

Interoperability endpoints

  • Direct secure messaging: lfram4173982@direct.trinity-health.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 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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1821672197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 HASTINGS CT",
            "city": "OAKLAND TOWNSHIP",
            "state": "MI",
            "postal_code": "483064903",
            "telephone_number": "586-354-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE STE 130",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206",
            "telephone_number": "248-454-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAM",
        "first_name": "LARA",
        "middle_name": "TALYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704343086",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704343086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.