Individual provider Active NPI

Todd Frazier, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1285890426
Registry record updated Oct 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
01077873A Issued in IN
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
816978MedicaidSC

Electronic endpoints 4

TypeEndpointUseAffiliation
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, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180108001155 TN Practitioner - Preventive Medicine 3173806155 Reassigns benefits to 1 organization
I20230118001302 IN Practitioner - Family Practice 3173806155 Reassigns benefits to 1 organization

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
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

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

LicenseStateTypeSpecialty
0101251011VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Tennessee, PC General Practice CurrentSince Jul 18, 2017 Accepting new patients
Afc Physicians of Tennessee, PC General Practice CurrentSince Jul 18, 2017 Accepting new patients
Parkview Health System Inc CurrentSince Oct 6, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.