Individual provider Active NPI

Mitchell Alex Fremling, M.D.

  • Plastic Surgery Physician
  • Westminster, CO
National Provider Identifier
1356306294
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
36316 Issued in CO
Practice address
12207 Pecos St
Ste 300
Westminster, CO 80234-3892
Phone
(303) 466-3261
Fax
(303) 466-3674
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 36316 CO
Plastic Surgery Physician 208200000X 36316 CO Primary

Addresses

Primary practice location

12207 Pecos St
Ste 300
Westminster, CO 80234-3892

Mailing address

12207 Pecos St
Ste 300
Westminster, CO 80234-3892
Phone (303) 466-3261

Other identifiers 1

IdentifierTypeStateIssuer
33252343MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050117000489 CO Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 0042269029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12207 Pecos St
Suite 300
Westminster, CO 80234-3892
Phone (303) 466-3261

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision42
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36316COMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Plastic Surgery, PC Plastic Surgery CurrentSince Jan 12, 2004 Accepting new patients

Locations

340 E 1st Ave
Ste 333
Broomfield, CO 80020
Phone (303) 466-3261

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

12207 Pecos St
Ste 300
Westminster, CO 80234
Phone (303) 466-3261

Interoperability endpoints

  • Direct secure messaging: mitchell.fremling.p35@direct.ipn.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGFGDD/Endpoint/AGFGDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGFGDD
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1356306294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12207 PECOS ST",
            "address_2": "STE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343892",
            "telephone_number": "303-466-3261",
            "fax_number": "303-466-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12207 PECOS ST",
            "address_2": "STE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343892",
            "telephone_number": "303-466-3261",
            "fax_number": "303-466-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREMLING",
        "first_name": "MITCHELL",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CO",
            "license": "36316",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "36316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33252343",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.