Individual provider Active NPI

Bruce H Fridinger, DPM

  • Podiatrist
  • Ottumwa, IA
National Provider Identifier
1013998145
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
IA0102 Issued in IA
Practice address
520 N Sheridan Ave
Ottumwa, IA 52501-4228
Phone
(641) 683-7901
Fax
(641) 682-1158
NPI assigned
Nov 7, 2005
Last updated
Mar 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X IA0102 IA Primary

Addresses

Primary practice location

520 N Sheridan Ave
Ottumwa, IA 52501-4228

Mailing address

520 N Sheridan Ave
Ottumwa, IA 52501-4228
Phone (641) 683-7901

Other identifiers 1

IdentifierTypeStateIssuer
3115741MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000630 IA Practitioner - Podiatry 9234179037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 N Sheridan Ave
Ottumwa, IA 52501-4228
Phone (641) 683-7901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.42 of 100Reported as individual
Quality
85.34
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of nail tissue1041
Removal or shaving of skin growth397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IA0102IAMDPodiatrist
00582IAMDOccupational Therapy Assistant

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 4

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1013998145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N SHERIDAN AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525014228",
            "telephone_number": "641-683-7901",
            "fax_number": "641-682-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N SHERIDAN AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525014228",
            "telephone_number": "641-683-7901",
            "fax_number": "641-682-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDINGER",
        "first_name": "BRUCE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "IA0102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3115741",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.