NPIMap

Individual provider Active NPI

Michael Andrew Freedman, DO

  • Otolaryngology/Facial Plastic Surgery Physician
  • Riverview, MI
National Provider Identifier
1851390066
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
5101024549 Issued in MI
Practice address
14600 King Rd Ste D
Riverview, MI 48193-7952
Phone
(734) 479-7310
Fax
(734) 479-7307
NPI assigned
Jul 19, 2005
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 5101024549 MI Primary

Addresses

Primary practice location

14600 King Rd Ste D
Riverview, MI 48193-7952

Mailing address

14600 King Rd Ste D
Riverview, MI 48193-7952
Phone (734) 479-7310

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mafreedmando@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190620000471 MI Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 6901838077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael a Freedman DO PCGroup PAC ID 8628302932, 2 clinicians

Practice addresses (Care Compare)

14600 King Rd
Suite D
Riverview, MI 48193-7952
Phone (734) 479-7310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Freedman D.O. P.C. Otolaryngology/Facial Plastic Surgery CurrentSince Jun 1, 2019 Accepting new patients

Locations

14600 King Rd
Ste D
Riverview, MI 48193
Phone (734) 479-7310

Interoperability endpoints

  • Direct secure messaging: mfreedman952391@direct.hfhs.org

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 7

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1851390066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 KING RD STE D",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937952",
            "telephone_number": "734-479-7310",
            "fax_number": "734-479-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 KING RD STE D",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937952",
            "telephone_number": "734-479-7310",
            "fax_number": "734-479-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101024549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mafreedmando@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14600 King Rd Ste D",
            "city": "Riverview",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481937952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

Verify at the official NPI Registry.