Active NPI
Ermenegildo E. Frezza, M.D.
- Surgery Physician
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD2006-0035
- Practice address
- 311 W Country Club Rd
Ste 1
Roswell, NM 88201-5839 - Phone
- (575) 625-3400
- Fax
- (575) 625-3415
- NPI assigned
- Nov 30, 2005
- Last updated
- Jan 5, 2017
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M1684 | TX | |
| Surgery Physician | 208600000X | MD2006-0035 | NM | Primary |
Addresses
Primary practice location
311 W Country Club Rd
Ste 1
Roswell, NM 88201-5839
Mailing address
311 W Country Club Rd
Ste 1
Roswell, NM 88201-5839
Phone (575) 625-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159122407 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
173 E Webster St
Colusa, CA 95932-2949
Phone (209) 287-6308
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2006-0035 | NM | MD | Surgery Physician |
| M1684 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Glenn Medical Center, LLC | Current | Accepting new patients | |
| Dimmit Regional Hospital | Current | Accepting new patients | |
| Glenn Medical Center, LLC | Current | Accepting new patients | |
| Glenn Medical Center, LLC | Current | Accepting new patients | |
| Emergency Staffing Solutions Inc | Current | Accepting new patients | |
| Dimmit Regional Hospital | Current | Accepting new patients | |
| American Specialty Physicians Group Inc | Current | Accepting new patients | |
| Ess Hospitalist LLC | Current | Accepting new patients | |
| Surgicalists of Ca PC | Surgery | Current | Accepting new patients |
| Harlingen Physician Network Inc | Surgery | Past | Accepting new patients |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients | |
| LHH Emergency Physicians PLLC | Past | Accepting new patients |
Locations
1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841
151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308
1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501
700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851
155 N Jackson Ave
Ste 201
San Jose, CA 95116
Phone (408) 770-5224
1133 W Sycamore St
Willows, CA 95988
Phone (530) 934-1800
1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953
800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270
704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424
1313 Veterans Ave
Ste A
Crystal City, TX 78839
Phone (830) 374-9823
17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200
Interoperability endpoints
- efrezza231108@santaclaravalley.direct-ci.net
- efrezza895125@direct.unitypoint.org
- eldo.frezza@ipmcentral.cernerdirect.com
- ermenegildo.frezza.1@19854.direct.athenahealth.com
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Modesto, CA
- NPI 1568992923
-
- Critical Access Hospital
- Carrizo Springs, TX
- NPI 1326134255
-
- Medicare Defined Swing Bed Hospital Unit
- Willows, CA
- NPI 1336187178
-
- Emergency Medicine Physician
- Carrizo Springs, TX
- NPI 1164774253
-
- Rural Health Clinic/Center
- Carrizo Springs, TX
- NPI 1568082477
-
dba Glenn Medical Rural Health Clinic
- Rural Health Clinic/Center
- Willows, CA
- NPI 1255632790
-
dba Family Care Center
- Rural Health Clinic/Center
- Willows, CA
- NPI 1356388961
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Colusa Medical Center
- Rural Acute Care Hospital
- Colusa, CA
- NPI 1215475124
-
- Critical Access Hospital
- Gridley, CA
- NPI 1477522019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1083698435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W COUNTRY CLUB RD",
"address_2": "STE 1",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015839",
"telephone_number": "575-625-3400",
"fax_number": "575-625-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W COUNTRY CLUB RD",
"address_2": "STE 1",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015839",
"telephone_number": "575-625-3400",
"fax_number": "575-625-3415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREZZA",
"first_name": "ERMENEGILDO",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "M1684",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "MD2006-0035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159122407",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.