Individual provider Active NPI

Ronald Ethan Freilich, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Jonesburg, MO
National Provider Identifier
1346645496
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2015014633 Issued in MO
Practice address
25107 Cherokee LN
Jonesburg, MO 63351-2454
Phone
(314) 575-5112
NPI assigned
Oct 31, 2014
Last updated
Sep 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151106000146 MO Practitioner - PodiatryPractitioner - Sports Medicine 0547570319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Sports Medicine
Education
New York College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Jeffrey Brooks PCGroup PAC ID 6204175169, 12 clinicians

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 100Reported as individual
Quality
55.21
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of nail tissue2679
Removal or shaving of skin growth990

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2015014633MOMDPodiatrist
016.004215ILMDFoot & Ankle Surgery Podiatrist
000541MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Podiatry Care PLLC Podiatrist CurrentSince Oct 6, 2025 Accepting new patients
Gateway Midwest Healthcare CurrentSince Apr 1, 2020 Accepting new patients
Dr Jeffrey Brooks PC Podiatrist CurrentSince Feb 18, 2024 Accepting new patients
Doctors on the Go1 L.C Podiatrist PastSince Jul 2, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.