Active NPI
David R Fries, M.D.
- Cardiovascular Disease Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME158793
- Practice address
- 9975 Tavistock Lakes Blvd Ste 360
Orlando, FL 32827-7665 - Phone
- (407) 266-3627
- Fax
- (407) 266-4911
- NPI assigned
- Jun 14, 2005
- Last updated
- Nov 7, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME158793 | FL | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 215616 | NY |
Addresses
Primary practice location
9975 Tavistock Lakes Blvd Ste 360
Orlando, FL 32827-7665
Mailing address
3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 266-3627
Other practice location 1
2365 S Clinton Ave
Ste 100
Rochester, NY 14618-2645
Phone (585) 442-5320
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02523233 | Medicaid | NY | |
| 118928300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- State University of New York at Buffalo School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000
2365 Clinton S Ave
Suite 100
Rochester, NY 14618-2663
Phone (585) 389-6045
30 Hagen Dr
Suite 300
Rochester, NY 14625-2658
Phone (585) 338-2700
3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 882-4814
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215616 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| University of Central Florida | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Clifton Springs Sanitarium Co | Current | Accepting new patients | |
| The University of Central Florida Board of Trustees | Current | Accepting new patients | |
| The University of Central Florida Board of Trustees | Current | Accepting new patients | |
| Communication Disorders Clinic | Past | Accepting new patients |
Locations
3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627
9975 Tavistock Lakes Blvd
Ste 160
Orlando, FL 32827
Phone (407) 266-3627
9975 Tavistock Lakes Blvd
Ste 360
Orlando, FL 32827
Phone (407) 266-3627
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
2365 S Clinton Ave
Ste 100
Rochester, NY 14618
Phone (585) 461-9500
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
995 Senator Keating Blvd
Ste 100
Rochester, NY 14618
Phone (585) 241-6600
Interoperability endpoints
- dfries13513@direct.rochesterregional.org
Organizations & group practices 8
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.
-
- Speech-Language Pathologist
- Orlando, FL
- NPI 1568497527
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
dba Clifton Springs Hospital and Clinic
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Neurology Physician
- Orlando, FL
- NPI 1609575786
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Speech-Language Pathologist
- Orlando, FL
- NPI 1992750301
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1043215361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 QUADRANGLE BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171492",
"telephone_number": "407-266-3627",
"fax_number": "407-882-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9975 TAVISTOCK LAKES BLVD STE 360",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277665",
"telephone_number": "407-266-3627",
"fax_number": "407-266-4911"
}
],
"practiceLocations": [
{
"address_1": "2365 S Clinton Ave",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146182645",
"country_code": "US",
"telephone_number": "585-442-5320",
"fax_number": "585-442-5526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIES",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME158793",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "215616",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02523233",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118928300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.