Individual provider Active NPI

Richard Grant Fried, MD

  • Family Medicine Physician
  • Kimberton, PA
National Provider Identifier
1275596405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-020097E Issued in PA
Practice address
1375 Hares Hill Road
Kimberton, PA 19442
Phone
(610) 933-0708
Fax
(610) 933-4125
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD-020097E PA Primary

Addresses

Primary practice location

1375 Hares Hill Road
Kimberton, PA 19442

Mailing address

PO Box 447
Kimberton, PA 19442-0447

Other identifiers 1

IdentifierTypeStateIssuer
0623984MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120409000116 PA Practitioner - Family Practice 3678734282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Kimberton Clinic,IncGroup PAC ID 6507027117, 5 clinicians

Practice addresses (Care Compare)

1375 Hares Hill Rd
Kimberton, PA 19442-0447
Phone (610) 933-0708

PO Box
Suite 447
Kimberton, PA 19442

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-020097EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Kimberton Clinic,Inc Family Medicine CurrentSince Dec 4, 1978 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275596405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "KIMBERTON",
            "state": "PA",
            "postal_code": "194420447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 HARES HILL ROAD",
            "city": "KIMBERTON",
            "state": "PA",
            "postal_code": "19442",
            "telephone_number": "610-933-0708",
            "fax_number": "610-933-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "RICHARD",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD-020097E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0623984",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kimberton, PA

Sources for this page

Verify at the official NPI Registry.