Active NPI
Ronald Ethan Freilich, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Jonesburg, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 2015014633
- Practice address
- 25107 Cherokee LN
Jonesburg, MO 63351-2454 - Phone
- (314) 575-5112
- NPI assigned
- Oct 31, 2014
- Last updated
- Sep 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016.004215 | IL | |
| Podiatrist | 213E00000X | 2015014633 | MO | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016.004215 | IL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2015014633 | MO | Primary |
Addresses
Primary practice location
25107 Cherokee LN
Jonesburg, MO 63351-2454
Mailing address
25107 Cherokee LN
Jonesburg, MO 63351-2454
Phone (314) 575-5112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 Bolivar St
Jefferson City, MO 65101-1572
Phone 24852821166
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.37 of 100
- Quality
- 55.21
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 30 |
| Removal of nail tissue | 2679 |
| Removal or shaving of skin growth | 990 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015014633 | MO | MD | Podiatrist |
| 016.004215 | IL | MD | Foot & Ankle Surgery Podiatrist |
| 000541 | MO | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Podiatry Care PLLC | Podiatrist | Current | Accepting new patients |
| Gateway Midwest Healthcare | Current | Accepting new patients | |
| Dr Jeffrey Brooks PC | Podiatrist | Current | Accepting new patients |
| Doctors on the Go1 L.C | Podiatrist | Past | Accepting new patients |
| Medical Care LLC | Past | Accepting new patients | |
| Aria Dental Care PC | Past | Accepting new patients |
Locations
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (502) 214-4812
12174 Natural Bridge Rd
Bridgeton, MO 63044
Phone (314) 481-3037
221 Bolivar St
Jefferson Cty, MO 65101
Phone 24852821166
7001 Cleveland Ave
Kansas City, MO 64132
Phone (816) 228-5665
5203 Chippewa St
Ste 301
Saint Louis, MO 63109
Phone (314) 481-5000
Interoperability endpoints
- ronald.freilich.p6@direct.360care.nextgenshare.com
Organizations & group practices 7
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.
-
- Podiatrist
- Jefferson City, MO
- NPI 1972069359
-
- Interventional Pain Medicine Physician
- Bridgeton, MO
- NPI 1811368244
-
- Podiatrist
- Jonesburg, MO
- NPI 1447704507
-
- Health Service Clinic/Center
- Florissant, MO
- NPI 1609481696
-
- Dentist
- Overland Park, KS
- NPI 1942977632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1346645496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25107 CHEROKEE LN",
"city": "JONESBURG",
"state": "MO",
"postal_code": "633512454",
"telephone_number": "314-575-5112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25107 CHEROKEE LN",
"city": "JONESBURG",
"state": "MO",
"postal_code": "633512454",
"telephone_number": "314-575-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREILICH",
"first_name": "RONALD",
"middle_name": "ETHAN",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-31",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016.004215",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MO",
"license": "2015014633",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016.004215",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "2015014633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.