Individual provider Active NPI

Debra E Freeman, MD

  • Radiation Oncology Physician
  • Naples, FL
National Provider Identifier
1346254125
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME0059942 Issued in FL
Practice address
2575 Northbrooke Plaza Dr
203
Naples, FL 34119-7961
Phone
(239) 262-5168
Fax
(239) 262-8524
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME0059942 FL Primary

Addresses

Primary practice location

2575 Northbrooke Plaza Dr
203
Naples, FL 34119-7961

Mailing address

2575 Northbrooke Plaza Dr Unit 207
Naples, FL 34119-8099
Phone (239) 262-5168

Other identifiers 2

IdentifierTypeStateIssuer
12580OtherFLBCBS OF FL
057715400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080609000423 FL Practitioner - Radiation Oncology 3577584747 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Florida College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians
NMC LLCGroup PAC ID 2668537689, 5 clinicians

Practice addresses (Care Compare)

2575 Northbrooke Plaza Dr
Unit 207
Naples, FL 34119-8099
Phone (239) 262-5168

261 9TH St S
Naples, FL 34102-6258
Phone (239) 216-4337

621 Lumsden Professional CT
Brandon, FL 33511-5996
Phone (813) 657-4004

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0059942FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Radiation Oncology, P.a. Radiation Oncology CurrentSince Aug 1, 1999 Accepting new patients
Aqua Dermatology of Florida, PA CurrentSince May 1, 2023 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince May 1, 2023 Accepting new patients

Locations

621 Lumsden Professional Ct
Brandon, FL 33511
Phone (813) 644-4910

621 Lumsden Professional Ct
#C
Brandon, FL 33511
Phone (813) 657-4004

2575 Northbrooke Plaza Dr
Unit 203
Naples, FL 34119
Phone (239) 262-5168

2575 Northbrooke Plaza Dr
Unit 207
Naples, FL 34119
Phone (239) 262-5168

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

261 9th St S
Naples, FL 34102
Phone (239) 216-4337

6600 66th St N
Pinellas Park, FL 33781
Phone (727) 343-0600

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: dfreeman@aquadermatology.emadirect.md

Organizations & group practices 4

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1346254125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 NORTHBROOKE PLAZA DR UNIT 207",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198099",
            "telephone_number": "239-262-5168",
            "fax_number": "239-262-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 NORTHBROOKE PLAZA DR",
            "address_2": "203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197961",
            "telephone_number": "239-262-5168",
            "fax_number": "239-262-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "DEBRA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME0059942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "12580",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057715400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.