Individual provider Active NPI

Frederick R Harris Jr., M.D.

  • Gastroenterology Physician
  • Germantown, TN
National Provider Identifier
1447478755
Registry record updated Jun 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
46249 Issued in TN
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

Updated by the provider on Jun 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918003050 CO Practitioner - Gastroenterology 7810133550 Reassigns benefits to 1 organization

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
Rocky Mountain Gastroenterology Associates, PLLCGroup PAC ID 5991797532, 37 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Upper gastrointestinal (GI) endoscopy for acid reflux64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23164MSMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Gastroenterology Associates, PLLC Gastroenterology CurrentSince Sep 1, 2024 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.

FacilityTypeRoleSince
St Jude Childrens Research Hospital IncMemphis, TN, CCN 443302 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.

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.

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": "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

Verify at the official NPI Registry.