Active NPI
Peter Farago III, M.D.
- Addiction Medicine (Family Medicine) Physician
- Grosse Pointe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 4301093157
- Practice address
- 17888 Mack Ave
Grosse Pointe, MI 48230-6234 - Phone
- (519) 258-4771
- Fax
- (519) 258-4793
- NPI assigned
- Oct 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 4301093157 | MI | Primary |
| Family Medicine Physician | 207Q00000X | 4301093157 | MI |
Addresses
Primary practice location
17888 Mack Ave
Grosse Pointe, MI 48230-6234
Mailing address
77 Stephens Rd
Grosse Pointe Farms, MI 48236-3624
Phone (313) 670-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN, FL, KY, OH, TX, VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17888 Mack Ave
Grosse Pointe, MI 48230-6234
Phone (888) 711-1808
312 S 4TH St
Suite 700
Louisville, KY 40202-3046
Phone (888) 849-1080
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301093157 | MI | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Catholic Doctor, P.L.L.C. | Current | Accepting new patients | |
| BHG Lxxxiii, LLC | Current | Accepting new patients | |
| Aegis Medical PLLC | Addiction Medicine | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Ora Living Health Services LLC | Current | Accepting new patients | |
| 1 Care Partners LLC | Current | Accepting new patients | |
| Michigan Therapeutic Consultants PC | Current | Accepting new patients | |
| 1 Care Partners Ky LLC | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Monarch Urgent Care | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Optimed Health Partners Inc | Past | Accepting new patients |
Locations
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
310 Boxwood Run
Mt Washington, KY 40047
Phone (502) 538-3500
9505 Reisterstown Rd
Ste 2NCNW
Owings Mills, MD 21117
9505 Reisterstown Rd
Ste 2NW
Owings Mills, MD 21117
Phone (443) 571-8489
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
17888 Mack Ave
Grosse Pointe, MI 48230
Phone (888) 849-1080
18080 Mack Ave
Grosse Pointe, MI 48230
Phone (313) 499-8368
913 W Holmes Rd
Ste 189
Lansing, MI 48910
Phone (517) 272-4357
440 Sylvan Ave
Ste 240
Englewood Cliffs, NJ 07632
1715 Indian Wood Cir
Ste 200
Maumee, OH 43537
Phone (216) 770-9367
5001 Spring Valley Rd
Ste 600
Dallas, TX 75244
2500 Wilcrest Dr
Ste 300
Houston, TX 77042
Phone (213) 288-3538
550 S Carlin Springs Rd
Arlington, VA 22204
Phone (703) 379-7200
12475 Route 50
Fairfax, VA 22033
Phone (703) 352-7172
8401 Mayland Dr
Ste S
Richmond, VA 23294
Phone (774) 473-8890
105 Landmark Dr
Stuart, VA 24171
Phone (276) 694-4230
Interoperability endpoints
- pfaraqo431173@direct.hfhs.org
Organizations & group practices 14
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.
-
- Addiction Medicine (Family Medicine) Physician
- Grosse Pointe, MI
- NPI 1831883529
KY, OH, TX
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Methadone Clinic
- Mt Pleasant, MI
- NPI 1598932253
-
- Urgent Care Clinic/Center
- Allen Park, MI
- NPI 1346113339
-
- Geriatric Medicine (Internal Medicine) Physician
- Mt Washington, KY
- NPI 1790659662
-
- Geriatric Medicine (Internal Medicine) Physician
- Lynchburg, VA
- NPI 1205652898
DC
-
- Clinic/Center
- Richmond, VA
- NPI 1790672152
-
dba BHG Medical Services - Michiga
- Multi-Specialty Clinic/Center
- Gaylord, MI
- NPI 1508571241
-
dba OptiMed Healthcare Partners
- General Practice Physician
- Kalamazoo, MI
- NPI 1538840780
FL, IN
-
dba BHG Medical Services - Michigan
- Multi-Specialty Clinic/Center
- Lansing, MI
- NPI 1518677525
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1891702833
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
dba Thoracic Cardiovascular Institute
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1942452552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 STEPHENS RD",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363624",
"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": "519-258-4771",
"fax_number": "519-258-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAGO",
"first_name": "PETER",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-14",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "MI",
"license": "4301093157",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301093157",
"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 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.