Active NPI
Kathleen Fraga, MD
- Emergency Medicine Physician
- Vero Beach, FL
National Provider Identifier
1346411121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME118659
- Practice address
- 1960 Pointe West Dr
Vero Beach, FL 32966-1302 - Phone
- (772) 226-4250
- Fax
- (772) 226-4253
- NPI assigned
- Mar 19, 2008
- Last updated
- Feb 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME118659 | FL | Primary |
| Emergency Medicine Physician | 207P00000X | MD437917 | PA |
Addresses
Primary practice location
1960 Pointe West Dr
Vero Beach, FL 32966-1302
Mailing address
1960 Pointe West Dr
Vero Beach, FL 32966-1302
Phone (772) 226-4250
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD437917 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Past | Accepting new patients |
Locations
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
Networks
- Freedom Health HMO Network
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 Behavioral Health Center
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
dba Irhs-Cardiology Central
- Cardiovascular Disease Physician
- Sebastian, FL
- NPI 1396026670
-
- Urgent Care Clinic/Center
- Vero Beach, FL
- NPI 1720319809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1346411121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 POINTE WEST DR",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329661302",
"telephone_number": "772-226-4250",
"fax_number": "772-226-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 POINTE WEST DR",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329661302",
"telephone_number": "772-226-4250",
"fax_number": "772-226-4253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGA",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME118659",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD437917",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
- Herman Michael Fountain, M.D.
- Four Seasons Psychological Services Inc
- Farah Yolanda Fourcand, M.D.
- Foxglove Transport Services LLC (Foxglove Transport Services)
- Justine Ann Foxwell, APRN, FNP-C
- Petros Fragiskakis, DPT
- Jean Luc Franck, MD
- Jason Alejandro Franco, CAA
- Nicole Franco, APRN
- Richard A Franco, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.