Individual provider Active NPI

Frederick Kyle Comrie, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
National Provider Identifier
1376780387
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
73433 Issued in CT
Practice address
3465 National Drive
Suite 210
Plano, TX 75025
Phone
(496) 768-0516
NPI assigned
Jan 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X R8877 TX
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X R8877 TX
Interventional Pain Medicine Physician 208VP0014X R8877 TX
Interventional Pain Medicine Physician 208VP0014X A126856 CA
Physical Medicine & Rehabilitation Physician 208100000X 73433 CT Primary

Addresses

Primary practice location

3465 National Drive
Suite 210
Plano, TX 75025

Mailing address

3465 National Drive
Suite 210
Plano, TX 75025
Phone (496) 768-0516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131231000467 CA Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 1759518442 Reassigns benefits to 1 organization
I20230221002707 CT Practitioner - Physical Medicine and Rehabilitation 1759518442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Meharry Medical College School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

490 Blue Hills Ave
Hartford, CT 06112-1513
Phone (860) 714-3500

Hospital & facility affiliations

  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016
  • Mount Sinai Rehabilitation Hospital Inc Inpatient rehabilitation facility, Hartford, CT, CCN 073025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73433CTMDPhysical Medicine & Rehabilitation Physician
A126856CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Clinics of Central California, Inc. CurrentSince Nov 8, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 1, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Physical Medicine & Rehabilitation CurrentSince Apr 1, 2023 Accepting new patients
Lags Spine and Sportscare Medical Centers, Inc. Pain Medicine Past Accepting new patients
Lags Spine and Sportscare Medical Centers Inc Pain Medicine Past Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. Physical Medicine & Rehabilitation PastSince Jun 22, 2021 Accepting new patients

Locations

3550 Q St
#304C
Bakersfield, CA 93301

4605 Buena Vista Rd
Ste 600815
Bakersfield, CA 93311

5771 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 272-1295

1317 Oakdale Rd
Ste 800
Modesto, CA 95355
Phone (209) 284-0729

1130 Coffee Rd
Bldg 5B
Modesto, CA 95355
Phone (833) 478-1818

4505 Precissi Ln
Ste A
Stockton, CA 95207
Phone (209) 425-3815

2350 W Whitendale Ave
Visalia, CA 93277
Phone (559) 625-5286

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

476 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 696-6400

1981 E Main St
Unit 2
Waterbury, CT 06705
Phone (203) 709-5520

1981 E Main St
Waterbury, CT 06705
Phone (203) 709-5520

133 Scovill St
Ste 303
Waterbury, CT 06706
Phone (203) 575-1811

Interoperability endpoints

  • Direct secure messaging: fcomrie2996020@direct.trinity-health.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1376780387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 NATIONAL DRIVE",
            "address_2": "SUITE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "496-768-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 NATIONAL DRIVE",
            "address_2": "SUITE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "496-768-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMRIE",
        "first_name": "FREDERICK",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R8877",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "R8877",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "R8877",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A126856",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "73433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.