Individual provider Active NPI

Anthony J Frey, M.D.

  • Cardiovascular Disease Physician
  • Salisbury, MD
National Provider Identifier
1174565386
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0053394 Issued in MD
Practice address
1205 Pemberton Dr
Salisbury, MD 21801-2483
Phone
(410) 341-0300
Fax
(410) 341-0030
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0053394 MD Primary

Addresses

Primary practice location

1205 Pemberton Dr
Salisbury, MD 21801-2483

Mailing address

5454 Royal Mile Blvd
Salisbury, MD 21801-2321
Phone (410) 341-3340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040513000534 MD Practitioner - Cardiovascular Disease (Cardiology) 9133118243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
20.31 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053394MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Cardiology Associates PA Cardiovascular Disease CurrentSince Feb 1, 2004 Accepting new patients

Locations

1205 Pemberton Dr
Ste 105
Salisbury, MD 21801
Phone (410) 341-0300

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1174565386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 ROYAL MILE BLVD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012321",
            "telephone_number": "410-341-3340",
            "fax_number": "410-341-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 PEMBERTON DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012483",
            "telephone_number": "410-341-0300",
            "fax_number": "410-341-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0053394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.