Individual provider Active NPI

Michael J Fraipont, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Pasadena, CA
National Provider Identifier
1164418893
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
G81716 Issued in CA
Practice address
800 S Raymond Ave
Pasadena, CA 91105-3229
Phone
(626) 795-8051
Fax
(626) 795-0356
NPI assigned
Sep 27, 2005
Reactivated
Oct 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G81716 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G81716 CA Primary

Addresses

Primary practice location

800 S Raymond Ave
Pasadena, CA 91105-3229

Mailing address

PO Box 90730
Pasadena, CA 91109-0730
Phone (626) 755-0183

Other identifiers 2

IdentifierTypeStateIssuer
200038229OtherRR MEDICARE
G81716OtherCAINDIVIDUAL MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20040420001883 CA Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 3274528476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
University of Southern California Keck School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

800 S Raymond Ave
Pasadena, CA 91105-3229
Phone (626) 795-8051

Hospital & facility affiliations

  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Upper limb (arm) arthroscopy (minimally invasive joint repair)56
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G81716CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Congress Medical Surgery Center LLC Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Mar 1, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Mar 1, 2024 Accepting new patients
Executive Home Health, Inc PastSince Sep 26, 2011 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

289 W Huntington Dr
Ste 304
Arcadia, CA 91007
Phone (626) 574-9745

289 W Huntington Dr
Ste 103
Arcadia, CA 91007
Phone (626) 821-0707

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

800 S Raymond Ave
Fl 2
Pasadena, CA 91105
Phone (626) 755-1322

800 S Raymond Ave
Pasadena, CA 91105
Phone (626) 795-8051

800 S Raymond Ave
Fl 1
Pasadena, CA 91105

Interoperability endpoints

  • Direct secure messaging: mfraipont419382@direct.cshs.org
  • Direct secure messaging: michaelfraipont@cortho.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Executive Home Health, IncPasadena, CA, CCN 059541 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (51%)
Sep 26, 2011
Sep 26, 2011
Sep 26, 2011
Sep 26, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1164418893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90730",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911090730",
            "telephone_number": "626-755-0183",
            "fax_number": "626-795-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S RAYMOND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053229",
            "telephone_number": "626-795-8051",
            "fax_number": "626-795-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAIPONT",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G81716",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G81716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200038229",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE",
            "identifier": "G81716",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.