Individual provider Active NPI

Ermenegildo E. Frezza, M.D.

  • Surgery Physician
  • Roswell, NM
National Provider Identifier
1083698435
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD2006-0035 Issued in NM
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
159122407MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050817001005 TX Practitioner - General Surgery 4385674415 Reassigns benefits to 2 organizations
I20170420000536 NM Practitioner - General Surgery 4385674415 Reassigns benefits to 2 organizations
I20180726001621 CA Practitioner - General SurgeryPractitioner - Emergency Medicine 4385674415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Emergency Medicine
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

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2006-0035NMMDSurgery Physician
M1684TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Glenn Medical Center, LLC CurrentSince Nov 21, 2018 Accepting new patients
Dimmit Regional Hospital CurrentSince Jan 1, 2026 Accepting new patients
Glenn Medical Center, LLC CurrentSince Nov 21, 2018 Accepting new patients
Glenn Medical Center, LLC Current Accepting new patients
Emergency Staffing Solutions Inc CurrentSince Jan 9, 2019 Accepting new patients
Dimmit Regional Hospital CurrentSince Jan 1, 2026 Accepting new patients
American Specialty Physicians Group Inc CurrentSince Dec 7, 2023 Accepting new patients
Ess Hospitalist LLC CurrentSince Jan 9, 2019 Accepting new patients
Surgicalists of Ca PC Surgery CurrentSince Apr 1, 2025 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

  • Direct secure messaging: efrezza231108@santaclaravalley.direct-ci.net
  • Direct secure messaging: efrezza895125@direct.unitypoint.org
  • Direct secure messaging: eldo.frezza@ipmcentral.cernerdirect.com
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.