Frew Fikru, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AG111190002 Issued in MA

Practice address

529 Washington Ave Apt 2
Revere, MA 02151-1962

Phone

(617) 230-0979

NPI assigned

Mar 18, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ideal Healthcare Solutions LLCGroup PAC ID 0042376899, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHEHAD

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.

• Ideal Healthcare Solutions LLC

  • Family Nurse Practitioner
  • North Easton, MA
  • NPI 1033358536
  Medicare reassignment Care Compare group NPD
• I Dhaliwal MD PC

  • Internal Medicine Physician
  • Wrentham, MA
  • NPI 1699944942
  Medicare reassignment NPD
• Vantage Healthcare LLC

  • Internal Medicine Physician
  • Canton, MA
  • NPI 1366903551
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1093341331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 WASHINGTON AVE APT 2",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021511962",
            "telephone_number": "617-230-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 WASHINGTON AVE APT 2",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021511962",
            "telephone_number": "617-230-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKRU",
        "first_name": "FREW",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "AG111190002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AG11190002",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "AG11190002",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Revere",
            "affiliation": "N",
            "address_1": "529 Washington Ave",
            "city": "Revere",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021511962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Revere",
            "affiliation": "N",
            "address_1": "529 Washington Ave",
            "city": "Revere",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021511962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Fang
• Kristin Apostol Farrell, MSW
• Julie Anne Ferragamo, NP-C
• Olivia Ferrante
• Paige Boyce Fielding
• Lenna F Finger, M.D.
• Madeline Marie Fiore, M.D.
• Leonard I Firer, M.D.
• Sean M Flaherty, P.T.
• Shawna Josephine Flaherty, LPN

• Primary Care Nurse Practitioner in Revere, MA
• Providers in Revere, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.

Verify at the official NPI Registry.