NPIMap

Individual provider Active NPI

Robert Stephen Fredericks, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Reno, NV
National Provider Identifier
1336156546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4014 Issued in NV
Practice address
540 W Plumb LN
Suite 2a
Reno, NV 89509-3666
Phone
(775) 348-1811
Fax
(775) 348-7139
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4014 NV Primary

Addresses

Primary practice location

540 W Plumb LN
Suite 2a
Reno, NV 89509-3666

Mailing address

540 W Plumb LN
Suite 2a
Reno, NV 89509-3666
Phone (775) 348-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000681 NV Practitioner - Endocrinology 9830170430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1495 Ridgeview Dr
Suite 230
Reno, NV 89519-6334
Phone (775) 826-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.67 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4014NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert S. Fredericks MD LTD. Endocrinology, Diabetes & Metabolism Past Accepting new patients
Robert J. Rosenquist, CHTD. Endocrinology, Diabetes & Metabolism Past Accepting new patients

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 8

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336156546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W PLUMB LN",
            "address_2": "SUITE 2A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093666",
            "telephone_number": "775-348-1811",
            "fax_number": "775-348-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W PLUMB LN",
            "address_2": "SUITE 2A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093666",
            "telephone_number": "775-348-1811",
            "fax_number": "775-348-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKS",
        "first_name": "ROBERT",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "4014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.