Active NPI
Todd Frazier, MD
- Preventive Medicine/Occupational Environmental Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 01077873A
- Practice address
- 4402 E State Blvd
Fort Wayne, IN 46815-6917 - Phone
- (260) 425-5500
- Fax
- (260) 425-5505
- NPI assigned
- Aug 6, 2008
- Last updated
- Oct 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 01077873A | IN | Primary |
| General Practice Physician | 208D00000X | 0101251011 | VA | |
| General Practice Physician | 208D00000X | 81697 | SC |
Addresses
Primary practice location
4402 E State Blvd
Fort Wayne, IN 46815-6917
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 816978 | Medicaid | SC |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | todd.frazier@mpaii.eclinicaldirectplus.com | Direct | |
| Direct Messaging Address | tfrazier482129@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1331 Minnich Rd
New Haven, IN 46774-2051
Phone (260) 425-5000
2708 Guilford St
Huntington, IN 46750-9701
Phone (260) 355-3900
3909 New Vision Dr
Fort Wayne, IN 46845-1725
512 N Professional Way
Kendallville, IN 46755-2927
Phone (260) 347-8556
817 Trail Ridge Rd
Albion, IN 46701-1534
Phone (260) 373-9590
8911 Liberty Mills Rd
Fort Wayne, IN 46804-6311
Phone (260) 373-9465
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101251011 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Physicians of Tennessee, PC | General Practice | Current | Accepting new patients |
| Afc Physicians of Tennessee, PC | General Practice | Current | Accepting new patients |
| Parkview Health System Inc | Current | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095
Interoperability endpoints
- tfrazier482129@direct.parkviewexchange.com
Organizations & group practices 3
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 Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Primary Care Clinic/Center
- Chattanooga, TN
- NPI 1114234523
General Practice
-
- General Practice Physician
- Knoxville, TN
- NPI 1649647249
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Dekalb Hospital
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665792000000",
"number": "1285890426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 E STATE BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468156917",
"telephone_number": "260-425-5500",
"fax_number": "260-425-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "TODD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2022-10-15",
"certification_date": "2022-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "IN",
"license": "01077873A",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101251011",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "SC",
"license": "81697",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "816978",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "todd.frazier@mpaii.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "ECW DA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "3015 W Palmetto St",
"city": "Florence",
"state": "SC",
"country_code": "US",
"postal_code": "295015935",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tfrazier482129@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "8 Kissinger Drive",
"city": "wasbash",
"state": "IN",
"country_code": "US",
"postal_code": "46992",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "8 Kissinger Drive",
"city": "wasbash",
"state": "IN",
"country_code": "US",
"postal_code": "46992",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "8 Kissinger Drive",
"city": "wasbash",
"state": "IN",
"country_code": "US",
"postal_code": "46992",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2022; 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.