Eduardo Mauricio Fraifeld, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

0101055618 Issued in VA

Practice address

109 Bridge St Ste 300
Danville, VA 24541-1222

Phone

(347) 934-7114

Fax

(434) 797-2514

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
• Direct secure messaging: eduardofraifeld@spectrummed.allscriptsdirect.net

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.

• Danville Physician Practices LLC

  dba SOVAH Physician Practices

  • Anesthesiology Physician
  • Danville, VA
  • NPI 1629022868
  Medicare reassignment NPD
• Spectrum Medical Inc

  • Orthopaedic Surgery Physician
  • Danville, VA
  • NPI 1861597072

  Pain Medicine

  Medicare reassignment NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  VA

  Medicare reassignment NPD
• Danville Physician Practices LLC

  • Diagnostic Radiology Physician
  • Danville, VA
  • NPI 1265243612
  NPD
• Greensboro Pathology, LLC

  • Clinical Medical Laboratory
  • Greensboro, NC
  • NPI 1952396202
  NPD

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1114984358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BRIDGE ST STE 300",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411222",
            "telephone_number": "434-793-4711",
            "fax_number": "434-797-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BRIDGE ST STE 300",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411222",
            "telephone_number": "347-934-7114",
            "fax_number": "434-797-2514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241124506",
            "country_code": "US",
            "telephone_number": "276-790-3233",
            "fax_number": "276-790-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAIFELD",
        "first_name": "EDUARDO",
        "middle_name": "MAURICIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101055618",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0101055618",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101055618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS VA",
            "identifier": "366425",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5708702",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890557Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE VA",
            "identifier": "P00814694",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0557Q",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.spectrummed.com",
            "affiliation": "N",
            "address_1": "109 Bridge St Ste 300",
            "city": "Danville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245411222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Forchin Eyecare, P.C.
• Delors Ford
• Hannah Ford
• Catherine Marie Forte, OTR/L
• Jalen Lee Fountain
• Christopher Nathan France, PTA
• Frank L Tate DC PC
• Frank T Grogan III DDS, PC
• Hugh Erskine Fraser III, MD
• Amy Frauen, M.S.ED. CCC-SLP

• Pain Medicine (Anesthesiology) Physician in Danville, VA
• Providers in Danville, VA by specialty
• Pain Medicine (Anesthesiology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.