Active NPI
Grace A Freire, MD
- Pediatric Cardiology Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- ME108820
- Practice address
- 601 5TH St S
2ND Floor
Saint Petersburg, FL 33701-4804 - Phone
- (727) 767-3333
- Fax
- (727) 767-8990
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | ME108820 | FL | Primary |
Addresses
Primary practice location
601 5TH St S
2ND Floor
Saint Petersburg, FL 33701-4804
Mailing address
601 Fifth Street South
2ND Floor
St Petersburg, FL 33701-4804
Phone (727) 767-3333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003016500 | Medicaid | FL | |
| ME108820 | Other | FL | FLORIDA MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 5TH St S
Suite 5
St Petersburg, FL 33701-4804
Phone (727) 727-4429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME108820 | FL | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physician Services, Inc. | Pediatric Cardiology | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| All Children's OB/GYN Specialists | Past | Accepting new patients |
Locations
885 S Parsons Ave
Brandon, FL 33511
Phone (813) 436-5900
4550 Colonial Blvd
Fort Myers, FL 33966
Phone (239) 931-5700
3310 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 802-6600
4443 Rowan Rd
New Port Richey, FL 34653
Phone (727) 846-9900
5881 Rand Blvd
Sarasota, FL 34238
Phone (727) 822-7344
501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060
601 5th St S
St Petersburg, FL 33701
Phone (727) 767-3333
601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429
601 5th St S
Ste 2
St Petersburg, FL 33701
Phone (727) 767-3333
12220 Bruce B Downs Blvd
Tampa, FL 33612
Phone (727) 892-4200
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700
Interoperability endpoints
- gfreire47835@direct.tgh.org
- gfreire742012@direct.hopkinsmedicine.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- gfreire189209@orlandohealth.medalliesdirect.net
Organizations & group practices 4
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.
-
dba All Children's Specialty Physicians
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
Pediatric Cardiology
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Obstetrics & Gynecology Physician
- St Petersburg, FL
- NPI 1710213525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1043316227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 FIFTH STREET SOUTH",
"address_2": "2ND FLOOR",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-3333",
"fax_number": "727-767-8990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 5TH ST S",
"address_2": "2ND FLOOR",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-3333",
"fax_number": "727-767-8990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREIRE",
"first_name": "GRACE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME108820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003016500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL LICENSE",
"identifier": "ME108820",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Lauren Stephanie Freedman, CRNA, RN
- Marcella Eileen Freeman, LCSW
- Margaret Freeman, ARNP
- Freemans Healthcare, LLC (Freeman Wellness & Family Care)
- Shadonna Freeney
- Rebecca Freitag, PT, DPT
- Brittany Alexa Fremento
- Anna French, PMHNP-C
- Clarisse Fres, DO
- Fresenius Kidney Care American Dialysis, LLC (Fresenius Kidney Care St. Petersburg)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.