Individual provider Active NPI

Peter Farago III, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Grosse Pointe, MI
National Provider Identifier
1942452552
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
4301093157 Issued in MI
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

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20160923000074 MI Practitioner - Family PracticePractitioner - Addiction Medicine 3476840141 Reassigns benefits to 5 organizations
Practice locations: Grosse Pointe, MI
I20240405000378 IN Practitioner - Family Practice 3476840141 Reassigns benefits to 1 organization
I20240604001961 FL Practitioner - Family PracticePractitioner - General Practice 3476840141 Reassigns benefits to 1 organization
I20250128003522 KY Practitioner - Addiction MedicinePractitioner - Family Practice 3476840141 Reassigns benefits to 2 organizations
I20250213002535 OH Practitioner - Addiction MedicinePractitioner - Family Practice 3476840141 Reassigns benefits to 1 organization
I20250221001286 TX Practitioner - Addiction MedicinePractitioner - Family Practice 3476840141 Reassigns benefits to 1 organization
I20250314001929 VA Practitioner - Family Practice 3476840141 Reassigns benefits to 2 organizations
I20250325000369 DC Practitioner - Family Practice 3476840141 Reassigns benefits to 1 organization

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
Aegis Medical PLLCGroup PAC ID 6608226329, 3 clinicians

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

LicenseStateTypeSpecialty
4301093157MIMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Catholic Doctor, P.L.L.C. CurrentSince Aug 2, 2024 Accepting new patients
BHG Lxxxiii, LLC CurrentSince Dec 15, 2025 Accepting new patients
Aegis Medical PLLC Addiction Medicine CurrentSince Nov 29, 2023 Accepting new patients
Henry Ford Health System Current Accepting new patients
Ora Living Health Services LLC CurrentSince Sep 16, 2025 Accepting new patients
1 Care Partners LLC CurrentSince Mar 1, 2025 Accepting new patients
Michigan Therapeutic Consultants PC CurrentSince Jan 12, 2026 Accepting new patients
1 Care Partners Ky LLC CurrentSince Sep 28, 2025 Accepting new patients
Henry Ford Health System CurrentSince Sep 1, 2016 Accepting new patients
Monarch Urgent Care CurrentSince Dec 1, 2025 Accepting new patients
Henry Ford Health System CurrentSince Sep 1, 2016 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.