Active NPI
Kathleen M Fryburger, P.A.
- Physician Assistant
- Fredericksburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01528
- Practice address
- 1308 South Highway 16
Fredericksburg, TX 78624 - Phone
- (830) 997-2181
- Fax
- (830) 997-9598
- NPI assigned
- Dec 13, 2005
- Last updated
- Dec 8, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01528 | TX | Primary |
Addresses
Primary practice location
1308 South Highway 16
Fredericksburg, TX 78624
Mailing address
1308 South Highway 16
Fredericksburg, TX 78624
Phone (830) 997-2181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8Y0161 | Other | TX | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
205 W Windcrest Dr
Suite 210
Fredericksburg, TX 78624-4480
205 W Windcrest St
Fredericksburg, TX 78624-4480
Phone 83099740002057
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.06 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 73.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01528 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| STB Medical Consultants, P.a. | Current | Accepting new patients |
Organizations & group practices 3
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.
-
dba Sinus ENT Center of Texas
- Otolaryngology Physician
- Fredericksburg, TX
- NPI 1689142127
-
dba Main Street Urgent Care
- Urgent Care Clinic/Center
- Boerne, TX
- NPI 1255760054
-
- Audiologist-Hearing Aid Fitter
- Fredericksburg, TX
- NPI 1659148914
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital Hill Country
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1053396077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 SOUTH HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "78624",
"telephone_number": "830-997-2181",
"fax_number": "830-997-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 SOUTH HIGHWAY 16",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "78624",
"telephone_number": "830-997-2181",
"fax_number": "830-997-9598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYBURGER",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA01528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "8Y0161",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
- Fritztown Anesthesia Associates, PLLC
- Frontera Healthcare Network
- Frontera Healthcare Network (Frontera Fredericksburg Behavioral Health)
- Frontera Healthcare Network
- Frontera Healthcare Network Inc (Frontera Healthcare Network-Fredericksburg Clinic)
- Maggie Klein Gainer, MD
- Roger M Galindo, MD
- Kevin M Gallagher, DO
- Sandra M Garred, M.D.
- Lisa Garrett-Shamburger, IBCLC, CLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.