Active NPI
Isaiah Fry
- Hospitalist Physician
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 55868
- Practice address
- 1 Medical Village Dr
Edgewood, KY 41017-3403 - Phone
- (859) 301-8074
- Fax
- (859) 301-4945
- NPI assigned
- Oct 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.023726 | OH | |
| Internal Medicine Physician | 207R00000X | 01087626A | IN | |
| Internal Medicine Physician | 207R00000X | 55868 | KY | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 35.127366 | OH | |
| Hospitalist Physician | 208M00000X | 01087626A | IN | |
| Hospitalist Physician | 208M00000X | 55868 | KY | Primary |
Addresses
Primary practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 301-8074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 212-4468
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01087626A | IN | MD | Internal Medicine Physician |
| 57.023726 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Richland County, LTD | Internal Medicine | Current | Accepting new patients |
| Summit Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Summit Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Past | Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
1500 James Simpson Jr Way
Ste 301
Covington, KY 41011
Phone (859) 341-6281
1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114
4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- ifry365932@direct-prd.stelizabeth.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Urgent Care Clinic/Center
- Highland Heights, KY
- NPI 1881026169
Internal Medicine
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1144658162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-301-8074",
"fax_number": "859-301-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL VILLAGE DR",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173403",
"telephone_number": "859-301-8074",
"fax_number": "859-301-4945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "ISAIAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-30",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.023726",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01087626A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "55868",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "OH",
"license": "35.127366",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01087626A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "55868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.