Individual provider Active NPI

Ellie Frazey, MD

  • Neurology Physician
  • Temple Terrace, FL
National Provider Identifier
1003472366
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME161342 Issued in FL
Practice address
9220 Overlook Dr
Temple Terrace, FL 33617-5422
Phone
(813) 820-1520
Fax
(949) 864-3647
NPI assigned
May 13, 2019
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD215161 OR
Neurology Physician 2084N0400X ME161342 FL Primary

Addresses

Primary practice location

9220 Overlook Dr
Temple Terrace, FL 33617-5422

Mailing address

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (813) 842-4723

Other practice location 1

17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone (813) 974-2201

Other practice location 2

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Other names 1

  • Elhaam Iranmanesh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, AZ, WA, OR, FL, MI, IA, NH, GA, KY, NY, OH12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20230619000769 ND Practitioner - Neurology 2567820848 Reassigns benefits to 2 organizations
I20230717001699 AZ Practitioner - Neurology 2567820848 Reassigns benefits to 1 organization
I20230717001965 WA Practitioner - Neurology 2567820848 Reassigns benefits to 1 organization
I20230717002180 OR Practitioner - Neurology 2567820848 Reassigns benefits to 2 organizations
I20230717002476 FL Practitioner - Neurology 2567820848 Reassigns benefits to 10 organizations
I20230810002661 MI Practitioner - Neurology 2567820848 Reassigns benefits to 1 organization
I20230810002889 IA Practitioner - Neurology 2567820848
I20230823003801 NH Practitioner - Neurology 2567820848 Reassigns benefits to 3 organizations
I20230908003561 GA Practitioner - Neurology 2567820848 Reassigns benefits to 2 organizations
I20231017001342 KY Practitioner - Neurology 2567820848 Reassigns benefits to 1 organization
I20231019001012 NY Practitioner - Neurology 2567820848 Reassigns benefits to 5 organizations
I20240229000371 OH Practitioner - Neurology 2567820848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of South Florida College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
St. Joseph HospitalGroup PAC ID 1254222938, 101 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

300 W Tyler St
Unit 1510
Tampa, FL 33602-3976
Phone (239) 208-2212

300 W Tyler St
Unit 1510
Tampa, FL 33602-4085
Phone (516) 579-6000

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

4188 Little Gap Loop
Ellenton, FL 34222-3912
Phone (706) 647-8111

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323162NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Jun 15, 2023 Accepting new patients
Altru Health System CurrentSince Jun 22, 2023 Accepting new patients
Concord Hospital-Laconia CurrentSince Jul 1, 2023 Accepting new patients
St Alexius Medical Center CurrentSince Aug 23, 2024 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 1, 2023 Accepting new patients
Mercy Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Altru Health System CurrentSince Jun 22, 2023 Accepting new patients
Mercy Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Concord Hospital, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Jul 1, 2023 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Concord Hospital, Inc. CurrentSince Jul 1, 2023 Accepting new patients
St. Alexius Medical Center CurrentSince Aug 23, 2024 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Aug 17, 2024 Accepting new patients
Braingevitymd CurrentSince Jun 27, 2026 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 10, 2023 Accepting new patients
Silverton Health CurrentSince Jun 10, 2023 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 1, 2023 Accepting new patients
St Charles Hospital Corp CurrentSince Oct 1, 2023 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Lakeland Medical Practices CurrentSince Jul 10, 2023 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Dec 4, 2023 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Oct 1, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 10, 2023 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Dec 4, 2023 Accepting new patients
Mercy Medical Center Current Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Jan 14, 2024 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 10, 2023 Accepting new patients
Nchmd Inc CurrentSince Jun 15, 2023 Accepting new patients
Silverton Health CurrentSince Jun 10, 2023 Accepting new patients
Upson Medical Associates LLC CurrentSince Aug 19, 2024 Accepting new patients
St. Joseph Hospital CurrentSince Oct 1, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Jun 10, 2023 Accepting new patients
Baptist Health Medical Group Inc Neurology CurrentSince Mar 15, 2024 Accepting new patients
Virtual Neurology New Jersey LLC Neurology CurrentSince Feb 28, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 15, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations (25 of 41)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

11215 Metro Pkwy
Bldg 3
Fort Myers, FL 33966
Phone (470) 816-5071

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

9220 Overlook Dr
Temple Terrace, FL 33617
Phone (813) 820-1520

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

248 Pleasant St
Ste 206
Concord, NH 03301
Phone (603) 230-7266

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: efrazey230505@santaclaravalley.direct-ci.net
  • Direct secure messaging: efrazey4030940@direct.trinity-health.org
  • Direct secure messaging: eiranmanesh861930@direct.emplifyhealth.org

Organizations & group practices 43

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.

View all 43

Hospital & facility affiliations 6

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1003472366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "813-842-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 OVERLOOK DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175422",
            "telephone_number": "813-820-1520",
            "fax_number": "949-864-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Davis Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063438",
            "country_code": "US",
            "telephone_number": "813-974-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11215 Metro Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339661206",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZEY",
        "first_name": "ELLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD215161",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME161342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELHAAM",
            "last_name": "IRANMANESH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.