Wallace L Fritz, MD
Individual provider Active NPI Family Medicine Physician · Sioux Falls, SD
NPI 1114169646 · NPPES record last updated Oct 25, 2012
Key facts
- NPI
- 1114169646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 8476 (SD)
- Practice address
- 6110 S Minnesota Ave
Sioux Falls, SD 57108-2571 - Phone
- (605) 328-5800
- NPI assigned
- Mar 30, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Sanford School of Medicine of University of South Dakota, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center
Practice addresses (Care Compare)
1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200
1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300
4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883
6110 S Minnesota Ave
Sioux Falls, SD 57108-2549
Phone (605) 328-5800
Hospital & facility affiliations
- Aveanna Home Health
- Sanford Home Health
- Sanford Usd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 78.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.49
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121024000329 | SD | Practitioner - Family Practice | 6800046079 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Medical Center | Family Medicine | Current |
Accepting new patients |
Locations
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
6110 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 328-5800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 8476 | SD | Yes |
Addresses
Primary practice location
6110 S Minnesota Ave
Sioux Falls, SD 57108-2571
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other providers in Sioux Falls, SD
- Gina Fritz
- Kaitlyn Mae Fritz
- Marlys Ann Fritz
- Michele Fritz
- Natasha Fritz
- Kendra Frodermann
- Krystal Lynn Froehlich
- Jocelyn June Frohm
- Marcus Lee Frohm
- Martha J Frohwein
All providers in Sioux Falls, SD · Family Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.