Active NPI
Louis C Sfreddo, MD
- Orthopaedic Surgery Physician
- Elkhart, IN
National Provider Identifier
1225054786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01027988A
- Practice address
- 2310 California Road
Elkhart, IN 46514-1228 - Phone
- (574) 264-4163
- Fax
- (574) 262-9650
- NPI assigned
- Jul 15, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01027988A | IN | Primary |
Addresses
Primary practice location
2310 California Road
Elkhart, IN 46514-1228
Mailing address
2310 California Road
Elkhart, IN 46514-1228
Phone (574) 264-4163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100112160A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01027988A | IN | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1225054786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 CALIFORNIA ROAD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141228",
"telephone_number": "574-264-4163",
"fax_number": "574-262-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 CALIFORNIA ROAD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141228",
"telephone_number": "574-264-4163",
"fax_number": "574-262-9650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SFREDDO",
"first_name": "LOUIS",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01027988A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100112160A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.