Benjamin Fritz, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MED-PHYS-LIC-88487 Issued in MT

Practice address

2301 Circadian Way
Suite a
Santa Rosa, CA 95407-5416

Phone

(707) 526-2027

Fax

(707) 526-2096

NPI assigned

May 12, 2006

Last updated

May 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, MT, WV, WI, OH5 enrollments

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 5

Specialty

NephrologyAlso: Internal Medicine

Education

Stanford University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Associates CorporationGroup PAC ID 8022196518, 8 clinicians

Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Rodolfo R. Batarse, MD, Medical CorporationGroup PAC ID 3173775657, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Eureka Dialysis facility, Eureka, CA, CCN 052543
• SRS-Crescent City, LLC Dialysis facility, Crescent City, CA, CCN 552868
• Fresenius Medical Care McKinleyville Dialysis facility, McKinleyville, CA, CCN 552658
• SRS-Watsonville Dialysis, LLC Dialysis facility, Watsonville, CA, CCN 752506
• Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
• St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
• Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ben.fritz.1@15882.direct.athenahealth.com
• Direct secure messaging: bfrits126336@edirect.emc.org
• Direct secure messaging: bfritz1337916@wm.providencedirect.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/BGAJAA

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.

• Emergency Associates Corporation

  • Emergency Medicine Physician
  • Rancho Mirage, CA
  • NPI 1003866120
  Medicare reassignment Care Compare group NPD
• Rodolfo R. Batarse, MD, Medical Corporation

  • Nephrology Physician
  • Rancho Mirage, CA
  • NPI 1295024933
  Medicare reassignment Care Compare group NPD
• Providence Health & Services Mt

  dba St Patrick Hospital Rehab

  • Rehabilitation Hospital Unit
  • Missoula, MT
  • NPI 1144319138
  Medicare reassignment Care Compare group NPD
• Nephrology Associates

  • Specialist
  • Santa Rosa, CA
  • NPI 1063462950
  Medicare reassignment NPD
• Telehealth Specialty Medical Group

  dba TeleMed2U

  • Emergency Medicine Physician
  • Roseville, CA
  • NPI 1326338237
  Medicare reassignment NPD
• Providence Health & Services Mt

  dba Providence Medical Group Montana

  • Family Medicine Physician
  • Missoula, MT
  • NPI 1215222617
  NPD
• Providence Health & Services Mt

  dba 1871825018

  • Nephrology Physician
  • Missoula, MT
  • NPI 1871825018
  NPD
• Rocky Mountain Kidney Care PC

  • Nephrology Physician
  • San Mateo, CA
  • NPI 1316761943
  NPD (past)
• Tele-Medicine Services Ny, PLLC

  • Internal Medicine Physician
  • Roseville, CA
  • NPI 1609663780
  NPD (past)
• Epsilon Kidney Care, PC

  • Clinic/Center
  • Montgomery, AL
  • NPI 1548975873

  Nephrology

  NPD (past)

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

• Bio-Medical Applications of Eureka, Inc.

  dba Fresenius Medical Care of Eureka

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Eureka, CA
  • NPI 1407968308

  Dialysis facility

  Care Compare affiliation Name & address match
• SRS-Crescent City, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Crescent City, CA
  • NPI 1376074559

  Dialysis facility

  Care Compare affiliation Name & address match
• Desert Regional Medical Center, Inc.

  dba Desert Regional Medical Center

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1104856095
  Care Compare affiliation
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  Care Compare affiliation
• Providence Health & Services Mt

  dba Providence St Patrick Hospital

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1023032588
  Care Compare affiliation
• Providence Health & Services Mt

  dba Montana Cancer Center at Providence St. Patrick Hospital

  • Medical Oncology Physician
  • Missoula, MT
  • NPI 1326483587

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  dba St Patrick Hospital Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Missoula, MT
  • NPI 1366185928

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  dba St Patrick Hospital Psych

  • Psychiatric Hospital Unit
  • Missoula, MT
  • NPI 1619058302
  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1265482772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CIRCADIAN WAY",
            "address_2": "SUITE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075416",
            "telephone_number": "707-526-2027",
            "fax_number": "707-526-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CIRCADIAN WAY",
            "address_2": "SUITE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075416",
            "telephone_number": "707-526-2027",
            "fax_number": "707-526-2096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3055 N Reserve St Ste D",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598081395",
            "country_code": "US",
            "telephone_number": "406-327-7000",
            "fax_number": "406-329-1927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A66856",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MT",
            "license": "MED-PHYS-LIC-88487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A66856",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bfritz1337916@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2301 Circadian Way",
            "address_2": "Suite A",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954075416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Lorena Frigault, LVN
• Mindy Lynne Frisch, MFT INTERN
• Christina Helen Fritsch, MD
• Tosh Fritsch
• Margaret R Fritschen, MA
• From the Heart Homecare Inc
• Front Porch Communities and Services (Spring Lake Village)
• Teresa Lin Fry
• Jessica V Fuentes-Colasse, D.D.S
• Destiny Ann Fuentes

• Nephrology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.