Active NPI
Federico A Frias, M.D
- Pediatrics Physician
- Bradenton, FL
National Provider Identifier
1407872849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME87970
- Practice address
- 5255 Office Park Blvd
Suite 110
Bradenton, FL 34203-3443 - Phone
- (941) 755-7000
- Fax
- (941) 755-7088
- NPI assigned
- Jul 15, 2006
- Last updated
- Apr 25, 2014
- Sex
- Male
- 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 | ME87970 | FL | Primary |
Addresses
Primary practice location
5255 Office Park Blvd
Suite 110
Bradenton, FL 34203-3443
Mailing address
5255 Office Park Blvd
Suite 110
Bradenton, FL 34203-3443
Phone (941) 755-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269271600 | Medicaid | FL |
Other names 1
- Mr. Federico A Frias
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME87970 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federico a. Frias MD PA | Pediatrics | Past | Accepting new patients |
| Federico a. Frias MD PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- federico.frias.1@21958.direct.athenahealth.com
Organizations & group practices 2
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": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1407872849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 OFFICE PARK BLVD",
"address_2": "SUITE 110",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342033443",
"telephone_number": "941-755-7000",
"fax_number": "941-755-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 OFFICE PARK BLVD",
"address_2": "SUITE 110",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342033443",
"telephone_number": "941-755-7000",
"fax_number": "941-755-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIAS",
"first_name": "FEDERICO",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME87970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269271600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FEDERICO",
"last_name": "FRIAS",
"middle_name": "A",
"prefix": "MR.",
"credential": "M.D",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.