Individual provider Active NPI

Natalie Joy Frentz, MD

  • Family Medicine Physician
  • South Bend, IN
National Provider Identifier
1194941708
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01063651A Issued in IN
Practice address
6301 University Commons
South Bend, IN 46635-1571
Phone
(574) 234-4016
Fax
(574) 239-4607
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01063651A IN Primary

Addresses

Primary practice location

6301 University Commons
South Bend, IN 46635-1571

Mailing address

6301 University Commons
South Bend, IN 46635-1571
Phone (574) 234-4016

Other identifiers 1

IdentifierTypeStateIssuer
200863040MedicaidIN

Other names 1

  • Natalie Joy Vandeventer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address natalie.frentz@fmsb.eclincaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070706000428 IN Practitioner - Family PracticePractitioner - General Practice 9032219951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine of South Bend PCGroup PAC ID 5395659882, 8 clinicians

Practice addresses (Care Compare)

6301 University Commons
Suite 210
South Bend, IN 46635-1590
Phone 5742344016203

Hospital & facility affiliations

  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
  • Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063651AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine of South Bend PC Family Medicine CurrentSince Oct 15, 2023 Accepting new patients

Locations

6301 University Commons
Ste 210
South Bend, IN 46635
Phone (574) 234-4016

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGJBCD
  • Direct secure messaging: nataliefrentz@beacon.allscriptsdirect.net

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.

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1194941708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 UNIVERSITY COMMONS",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351571",
            "telephone_number": "574-234-4016",
            "fax_number": "574-239-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 UNIVERSITY COMMONS",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351571",
            "telephone_number": "574-234-4016",
            "fax_number": "574-239-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENTZ",
        "first_name": "NATALIE",
        "middle_name": "JOY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-06-04",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01063651A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200863040",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natalie.frentz@fmsb.eclincaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6301 University Commons",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466351571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "VANDEVENTER",
            "middle_name": "JOY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.