Organization Active NPI

Aegis Medical PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Grosse Pointe, MI
National Provider Identifier
1831883529
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
AEGIS MEDICAL PLLC
Practice address
17888 Mack Ave
Grosse Pointe, MI 48230-6234
Phone
(888) 849-1080
NPI assigned
Jun 6, 2023
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Dr. Peter Joseph Farago IIINPI 1942452552
Title
Owner
Phone
(888) 849-1080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X NU Primary
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

17888 Mack Ave
Grosse Pointe, MI 48230-6234

Mailing address

17888 Mack Ave
Grosse Pointe, MI 48230-6234
Phone (313) 670-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KY, OH, TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20231221001001 MI Part B Supplier - Clinic/Group Practice 6608226329 Receives reassigned benefits from 4 practitioners
Practice locations: Grosse Pointe, MI
O20250128003558 KY Part B Supplier - Clinic/Group Practice 6608226329 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY
O20250129002655 OH Part B Supplier - Clinic/Group Practice 6608226329 Receives reassigned benefits from 1 practitioner
Practice locations: Maumee, OH
O20250221001007 TX Part B Supplier - Clinic/Group Practice 6608226329 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1831883529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17888 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306234",
            "telephone_number": "313-670-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17888 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306234",
            "telephone_number": "888-849-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "FARAGO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-849-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.