Active NPI
Frederick R Harris Jr., M.D.
- Gastroenterology Physician
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 46249
- Practice address
- 2020 Exeter Rd
Germantown, TN 38138-3945 - Phone
- (901) 684-5503
- NPI assigned
- Apr 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 46249 | TN | Primary |
| Gastroenterology Physician | 207RG0100X | 23164 | MS |
Addresses
Primary practice location
2020 Exeter Rd
Germantown, TN 38138-3945
Mailing address
2020 Exeter Rd
Germantown, TN 38138-3945
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Tennessee, HSC, College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Southpark Dr
Littleton, CO 80120-5641
Phone (303) 722-8987
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 42 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 64 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23164 | MS | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Gastroenterology Associates, PLLC | Gastroenterology | Current | Accepting new patients |
Locations
3333 S Wadsworth Blvd
Bldg D
Lakewood, CO 80227
Phone (303) 922-0079
1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724
10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| St Jude Childrens Research Hospital Inc | Hospital | Corporate Director | Jul 1, 2016 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Children's Hospital
- Memphis, TN
- NPI 1033112230
Corporate Director
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.
-
- Gastroenterology Physician
- Lakewood, CO
- NPI 1669414272
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Emergency Care Clinic/Center
- Littleton, CO
- NPI 1548800154
Hospital
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1689688988
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1720628332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402704000000",
"number": "1447478755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 EXETER RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 EXETER RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383945",
"telephone_number": "901-684-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "FREDERICK",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2014-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "46249",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MS",
"license": "23164",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.