Active NPI
Mark Eugene Frazer, M.D.
- Family Medicine Physician
- Middletown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-049126
- Practice address
- 1010 Summit Drive
Middletown, OH 45042 - Phone
- (513) 424-0122
- Fax
- (513) 424-3863
- NPI assigned
- Sep 21, 2006
- Last updated
- Feb 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-049126 | OH | Primary |
Addresses
Primary practice location
1010 Summit Drive
Middletown, OH 45042
Mailing address
1010 Summitt Dr
Middletown, OH 45042-3400
Phone (513) 424-0122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0528816 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | mfrazer173106@direct.ketteringhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 73.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-049126 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Family Medicine | Current | Accepting new patients |
Locations
6438 Wilmington Pike
Ste 100
Dayton, OH 45459
Phone (937) 558-3840
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
100 Kettering Way
Ste 100
Franklin, OH 45005
Phone (937) 746-8357
1010 Summit Dr
Middletown, OH 45042
Phone (513) 424-0122
243 W Central Ave
Springboro, OH 45066
Phone (513) 748-4814
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1194824672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 SUMMITT DR",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423400",
"telephone_number": "513-424-0122",
"fax_number": "513-424-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SUMMIT DRIVE",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "45042",
"telephone_number": "513-424-0122",
"fax_number": "513-424-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZER",
"first_name": "MARK",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-049126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0528816",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1010 Summit Drive",
"city": "Middletown",
"state": "OH",
"country_code": "US",
"postal_code": "45042",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mfrazer173106@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "1010 Summit Drive",
"city": "Middletown",
"state": "OH",
"country_code": "US",
"postal_code": "45042",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.