Individual provider Active NPI

Rafael Gabriel Frias, M.D.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1023498599
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
289361 Issued in NY
Practice address
871 Prospect Ave
Bronx, NY 10459-3913
Phone
(718) 991-0605
Fax
(718) 991-2391
NPI assigned
May 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 289361 NY Primary

Addresses

Primary practice location

871 Prospect Ave
Bronx, NY 10459-3913

Mailing address

871 Prospect Ave
Bronx, NY 10459-3913
Phone (718) 991-0605

Other practice location 1

853 Longwood Ave
Bronx, NY 10459-4036
Phone (718) 588-4460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170727003336 NY Practitioner - Family PracticePractitioner - Other (Physician) 0244500973 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 1, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2017 Accepting new patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. CurrentSince Aug 14, 2023 Accepting new patients
Harlem United Com AIDS Ctr Ai Past Accepting new patients
Shlomit Levy PastSince Aug 14, 2023 Accepting new patients

Locations

871 Prospect Ave
Bronx, NY 10459
Phone (718) 991-0605

111 E 210th St
Bronx, NY 10467

853 Longwood Ave
Bronx, NY 10459
Phone (718) 588-4460

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

123 W 124th St
#125
New York, NY 10027

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

Networks

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

Interoperability endpoints

  • Direct secure messaging: rafael.frias@uram.eclinicaldirectplus.com
  • Direct secure messaging: ipx9001@direct.nyp.org

Organizations & group practices 5

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": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1023498599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 PROSPECT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593913",
            "telephone_number": "718-991-0605",
            "fax_number": "718-991-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 PROSPECT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593913",
            "telephone_number": "718-991-0605",
            "fax_number": "718-991-2391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "853 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104594036",
            "country_code": "US",
            "telephone_number": "718-588-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIAS",
        "first_name": "RAFAEL",
        "middle_name": "GABRIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-31",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "289361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.