Individual provider Active NPI

Krister Paul Freese, M.D.

  • Orthopaedic Surgery Physician
  • Honolulu, HI
National Provider Identifier
1104053388
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD176505 Issued in OR
Practice address
1356 Lusitana Street
6TH Floor
Honolulu, HI 96813-2421
Phone
(808) 586-8232
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MDR-5742 HI
Pediatric Orthopaedic Surgery Physician 207XP3100X MD176505 OR
Orthopaedic Hand Surgery Physician 207XS0106X MD176505 OR
Orthopaedic Surgery Physician 207X00000X MD176505 OR Primary

Addresses

Primary practice location

1356 Lusitana Street
6TH Floor
Honolulu, HI 96813-2421

Mailing address

1356 Lusitana Street
6TH Floor
Honolulu, HI 96813-2421

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kfreese739105@oc.providencedirect.org
Direct Messaging Address kfreese739105@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161104000830 OR Practitioner - Orthopedic Surgery 9537488804 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR-5742HIMDOrthopaedic Surgery Physician
MD176505ORMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Dec 14, 2025 Accepting new patients
Providence Health & Services - Oregon CurrentSince Oct 14, 2016 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 21, 2016 Accepting new patients
Providence Health & Services - Oregon CurrentSince Sep 21, 2016 Accepting new patients
University Professional Services CurrentSince Dec 14, 2025 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Shriners Hospitals for Children CurrentSince Sep 9, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Oct 14, 2016 Accepting new patients
Shriners Hospitals for Children Orthopaedic Surgery Past Accepting new patients
University Professional Services Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

3101 SW Sam Jackson Park Rd
#R
Portland, OR 97239
Phone (503) 241-5090

9155 SW Barnes Rd
Ste 211
Portland, OR 97225
Phone (503) 292-7356

3101 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 221-3424

9427 SW Barnes Rd
Ste 395
Portland, OR 97225
Phone (503) 216-2602

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

Interoperability endpoints

  • Direct secure messaging: kfreese739105@oc.providencedirect.org
  • Direct secure messaging: kfreese103198@direct.ohsu.edu

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1104053388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 LUSITANA STREET",
            "address_2": "6TH FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 LUSITANA STREET",
            "address_2": "6TH FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132421",
            "telephone_number": "808-586-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREESE",
        "first_name": "KRISTER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "MDR-5742",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "OR",
            "license": "MD176505",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OR",
            "license": "MD176505",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD176505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfreese739105@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9155 SW Barnes Rd Ste 211",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfreese739105@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9427 SW Barnes Rd Ste 395",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.