Individual provider Active NPI

James E Freidenstein, MD

  • Pain Medicine (Anesthesiology) Physician
  • St Augustine, FL
National Provider Identifier
1376782920
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME99398 Issued in FL
Practice address
105 Whitehall Dr Ste 115&116
St Augustine, FL 32086
Phone
(904) 800-7246
Fax
(904) 299-4116
NPI assigned
Feb 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME99398 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME99398 FL Primary

Addresses

Primary practice location

105 Whitehall Dr Ste 115&116
St Augustine, FL 32086

Mailing address

PO Box 1538
Ponte Vedra Beach, FL 32004-1538
Phone (904) 800-7246

Other identifiers 1

IdentifierTypeStateIssuer
013841100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150107001362 FL Practitioner - Interventional Pain ManagementPractitioner - Pain Management 1456483270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Whitehall Dr
Suite 115
St Augustine, FL 32086-5269
Phone (904) 800-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Institute of Pain Medicine LLC Pain Medicine CurrentSince Aug 6, 2018 Accepting new patients
Florida Institute of Pain Medicine LLC Pain Medicine CurrentSince Aug 6, 2018 Accepting new patients
Northern Florida Anesthesia Services PLLC CurrentSince Oct 1, 2018 Accepting new patients
Synergy Health Systems, PLLC Past Accepting new patients
Southeast Pain Management Services, PLLC Pain Medicine Past Accepting new patients
Cumberland Spine & Sport, LLC Past Accepting new patients

Locations

4796 Hodges Blvd
Ste 101
Jacksonville, FL 32224
Phone (904) 449-7246

105 Whitehall Dr
Ste 116
St Augustine, FL 32086
Phone (904) 719-7555

105 Whitehall Dr
Ste 115
St Augustine, FL 32086
Phone (904) 800-7246

105 Whitehall Dr
Ste 115116
St Augustine, FL 32086
Phone (904) 800-7246

206 Ashourian Ave
Ste 209
St Augustine, FL 32092
Phone (904) 800-7246

Interoperability endpoints

  • Direct secure messaging: james.freidenstein@fpain.eclinicaldirectplus.com
  • Direct secure messaging: jfreidenstein743323@direct.shands.ufl.edu

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 3

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": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1376782920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1538",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320041538",
            "telephone_number": "904-800-7246",
            "fax_number": "904-299-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WHITEHALL DR STE 115&116",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-800-7246",
            "fax_number": "904-299-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIDENSTEIN",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-05",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME99398",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME99398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013841100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.