Active NPI
Roger Lee Freed, M.D.
- Specialist
- San Francisco, CA
National Provider Identifier
1154437200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C-31528
- Practice address
- 3020 Fillmore St
San Francisco, CA 94123-4010 - Phone
- (415) 567-8908
- Fax
- (415) 383-1816
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C-31528 | CA | Primary |
Addresses
Primary practice location
3020 Fillmore St
San Francisco, CA 94123-4010
Mailing address
3020 Fillmore St
San Francisco, CA 94123-4010
Phone (415) 567-8908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060805 | Other | CA | MENTALHEALTHNETWORK |
Other names 1
- Dr. Roger Lee Freed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 1, 2015 through Jun 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31528 | CA | MD | Marriage & Family Therapist |
| C-31528 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B. William Kilgore, MD, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1184876690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154437200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 FILLMORE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234010",
"telephone_number": "415-567-8908",
"fax_number": "415-383-1816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 FILLMORE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234010",
"telephone_number": "415-567-8908",
"fax_number": "415-383-1816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREED",
"first_name": "ROGER",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "C-31528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTALHEALTHNETWORK",
"identifier": "060805",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROGER",
"last_name": "FREED",
"middle_name": "LEE",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.