Individual provider Active NPI

Karen Elizabeth Fryefield, MD

  • Pediatrics Physician
  • Portland, OR
National Provider Identifier
1336601160
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD210034 Issued in OR
Practice address
9555 SW Barnes Rd Ste 301
Portland, OR 97225-6670
Phone
(503) 297-3371
Fax
(503) 297-7975
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X MD210034 OR Primary

Addresses

Primary practice location

9555 SW Barnes Rd Ste 301
Portland, OR 97225-6670

Mailing address

9555 SW Barnes Rd Ste 301
Portland, OR 97225-6670
Phone (503) 297-3371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20190918002682 OR Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5294065272

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Clinic PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kfryefield311493@direct.lhs.org
  • Direct secure messaging: kfryefield2524450@oc.providencedirect.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1336601160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD STE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256670",
            "telephone_number": "503-297-3371",
            "fax_number": "503-297-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD STE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256670",
            "telephone_number": "503-297-3371",
            "fax_number": "503-297-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYEFIELD",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD210034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.