NPIMap

Individual provider Active NPI

Frederick R Pelz, MD

  • Internal Medicine Physician
  • Germantown, TN
National Provider Identifier
1053396523
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD012323 Issued in TN
Practice address
7205 Wolf River Blvd
Suite 100
Germantown, TN 38138-1758
Phone
(901) 684-1322
Fax
(901) 682-6368
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD012323 TN Primary

Addresses

Primary practice location

7205 Wolf River Blvd
Suite 100
Germantown, TN 38138-1758

Mailing address

PO Box 405827
Atlanta, GA 30384-5827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000575 TN Practitioner - Internal Medicine 7315835881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Wisconsin School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12323NCMDGeneral Practice Dentistry
MD012323TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Sep 15, 2011 Accepting new patients
Baptist Memorial Medical Group Inc Internal Medicine CurrentSince Sep 15, 2011 Accepting new patients
Memphis Internal Medicine, PLLC Internal Medicine PastSince Mar 6, 2004 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

7205 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 507-9466

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

Interoperability endpoints

  • Direct secure messaging: fpelz4567@direct.bmhcc.org

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1053396523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 WOLF RIVER BLVD",
            "address_2": "SUITE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381758",
            "telephone_number": "901-684-1322",
            "fax_number": "901-682-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZ",
        "first_name": "FREDERICK",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD012323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.