Active NPI
Sarah Elizabeth Freese, MD
- Pediatrics Physician
- Bedford, IN
National Provider Identifier
1407821507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01075642A
- Practice address
- 1614 25TH St
Bedford, IN 47421-5000 - Phone
- (812) 277-0118
- Fax
- (812) 277-0127
- NPI assigned
- Feb 22, 2006
- Last updated
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01075642A | IN | Primary |
Addresses
Primary practice location
1614 25TH St
Bedford, IN 47421-5000
Mailing address
PO Box 1329
Bloomington, IN 47402-1329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201316840 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SFREESE1@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01075642A | IN | MD | Pediatrics Physician |
Interoperability endpoints
- sfreese1@direct.iuhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1407821507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1329",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 25TH ST",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474215000",
"telephone_number": "812-277-0118",
"fax_number": "812-277-0127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREESE",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01075642A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201316840",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SFREESE1@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1614 25th St",
"city": "Bedford",
"state": "IN",
"country_code": "US",
"postal_code": "474215000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.