Individual provider Active NPI

Michael Sanford Frank, M.D.

  • Procedural Dermatology Physician
  • Sterling HTS, MI
National Provider Identifier
1891799334
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
MF036576 Issued in MI
Practice address
39242 Dequindre
Suite 105
Sterling HTS, MI 48310-3597
Phone
(586) 979-1750
Fax
(586) 979-4667
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MF036576 MI
Procedural Dermatology Physician 207NS0135X MF036576 MI Primary

Addresses

Primary practice location

39242 Dequindre
Suite 105
Sterling HTS, MI 48310-3597

Mailing address

39242 Dequindre
Suite 105
Sterling HTS, MI 48310-3597
Phone (586) 979-1750

Other identifiers 1

IdentifierTypeStateIssuer
101707514MedicaidMI

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
I20070919000171 MI Practitioner - Dermatology 5496849663 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MF036576MIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Dermatologists, P.C. Specialist CurrentSince Jul 1, 1976 Accepting new patients

Locations

39242 Dequindre Rd
Sterling Heights, MI 48310
Phone (586) 446-8060

39242 Dequindre Rd
Ste 105
Sterling Hts, MI 48310
Phone (586) 979-1750

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1891799334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39242 DEQUINDRE",
            "address_2": "SUITE 105",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483103597",
            "telephone_number": "586-979-1750",
            "fax_number": "586-979-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39242 DEQUINDRE",
            "address_2": "SUITE 105",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483103597",
            "telephone_number": "586-979-1750",
            "fax_number": "586-979-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "MICHAEL",
        "middle_name": "SANFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "MF036576",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MI",
            "license": "MF036576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101707514",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling HTS, MI

Sources for this page

Verify at the official NPI Registry.