NPIMap

Individual provider Active NPI

Kurt E Frauenpreis, MD

  • Family Medicine Physician
  • Dayton, WA
National Provider Identifier
1093732182
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60578593 Issued in WA
Practice address
1012 South Third Street
Dayton, WA 99328
Phone
(509) 382-3200
Fax
(509) 382-2748
NPI assigned
Jul 16, 2006
Last updated
Aug 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60578593 WA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD60578593 WA

Addresses

Primary practice location

1012 South Third Street
Dayton, WA 99328

Mailing address

1012 South Third Street
Dayton, WA 99328
Phone (509) 382-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210409000755 NC Practitioner - Family Practice 0345424917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

101 Clinic Dr
Tarboro, NC 27886-1935
Phone (252) 823-2105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60578593WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Nov 20, 2023 Accepting new patients
Williamston Clinic Corp Family Medicine CurrentSince Mar 1, 2021 Accepting new patients
Williamston Hospital Corporation PastSince Mar 9, 2020 Accepting new patients
Tarboro Care LLC Past Accepting new patients
Edgecombe Health Center by Harborview, LLC Past Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1473 NC 42 43 W
Pinetops, NC 27864
Phone (252) 641-8585

101 Clinic Dr
Tarboro, NC 27886
Phone (252) 823-2105

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300

232 Green St
Williamston, NC 27892
Phone (252) 792-6611

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1093732182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 SOUTH THIRD STREET",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "99328",
            "telephone_number": "509-382-3200",
            "fax_number": "509-382-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 SOUTH THIRD STREET",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "99328",
            "telephone_number": "509-382-3200",
            "fax_number": "509-382-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAUENPREIS",
        "first_name": "KURT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60578593",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD60578593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, WA

Sources for this page

Verify at the official NPI Registry.