Kirt Frederickson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

040390 Issued in CT

Practice address

24 Hospital Ave
Danbury, CT 06810-6099

Phone

(203) 739-7532

Fax

(203) 796-7667

NPI assigned

Oct 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Diagnostic Radiology

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Imaging Associates LLCGroup PAC ID 6406897354, 10 clinicians

Danbury Radiological Associates, PCGroup PAC ID 2264408533, 35 clinicians

Premier Imaging LLCGroup PAC ID 8820403637, 42 clinicians

Connecticut Orthopaedic Specialists PCGroup PAC ID 7315850039, 184 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Danbury Hospital Hospital, Danbury, CT, CCN 070033
• Norwalk Hospital Hospital, Norwalk, CT, CCN 070034

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1844

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.

• Danbury Radiological Associates, PC

  • Diagnostic Radiology Physician
  • Danbury, CT
  • NPI 1639164106
  Medicare reassignment Care Compare group NPD Authorized official
• Premier Imaging LLC

  • Diagnostic Radiology Physician
  • Norwalk, CT
  • NPI 1760087027
  Medicare reassignment Care Compare group NPD Authorized official
• Specialty Imaging Associates, LLC

  • Diagnostic Radiology Physician
  • Danbury, CT
  • NPI 1003804709
  Medicare reassignment Care Compare group NPD Authorized official
• Connecticut Orthopaedic Specialists, PC

  • Orthopaedic Surgery Physician
  • Hamden, CT
  • NPI 1235181389
  Medicare reassignment Care Compare group NPD
• Mandell & Blau, MD'S PC

  • Diagnostic Radiology Physician
  • South Windsor, CT
  • NPI 1811007545
  Medicare reassignment NPD
• Connecticut Orthopaedic Specialists, PC

  • Orthopaedic Surgery Physician
  • Fairfield, CT
  • NPI 1932614450
  NPD
• Putnam Imaging Associates PC

  • Diagnostic Radiology Physician
  • Carmel, NY
  • NPI 1609864305
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Danbury Hospital

  • Dental Clinic/Center
  • Danbury, CT
  • NPI 1003835935

  Hospital

  Care Compare affiliation
• Danbury Hospital

  • General Acute Care Hospital
  • Danbury, CT
  • NPI 1548293343
  Care Compare affiliation
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1346441953
  Care Compare affiliation
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1427041581
  Care Compare affiliation
• Norwalk Hospital Association

  • Land Ambulance
  • Norwalk, CT
  • NPI 1477546521

  Hospital

  Care Compare affiliation
• Norwalk Hospital Association

  • General Acute Care Hospital
  • Norwalk, CT
  • NPI 1649263880
  Care Compare affiliation

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1144218819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NEWTOWN RD",
            "address_2": "UNIT 45",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106257",
            "telephone_number": "203-739-7532",
            "fax_number": "203-796-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106099",
            "telephone_number": "203-739-7532",
            "fax_number": "203-796-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKSON",
        "first_name": "KIRT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "040390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Francoeur, M.A., L.P.C.
• Benjanin M Frank, D.D.S.
• Israel Frank, BCBA
• Gerald O Franklin, MD
• Allison Franz
• Tanesha K. Freeman, LCSW
• Sharon Jean Freitas, APRN
• Carmine J Frele, D.M.D.
• Robin L Frierson, N.P.
• Christina Frith

• Diagnostic Radiology Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Diagnostic Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.