Muluken Demessie Frew, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME88205 Issued in FL

Practice address

2912 W Waters Ave
Tampa, FL 33614-1855

Phone

(813) 443-4611

Fax

(813) 443-4754

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• M & M Medical Clinic, LLC

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1588992713
  Medicare reassignment Authorized official
• Florida Health Sciences Center Inc

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1235196510
  NPD (past)
• Jessica J Wilson Chan D O PA

  • General Practice Physician
  • Tampa, FL
  • NPI 1457995953
  NPD (past)
• Physical Medicine Center

  • Multi-Specialty Clinic/Center
  • Tampa, FL
  • NPI 1902810963
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1457353153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WINN ARTHUR DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944543",
            "telephone_number": "813-352-9442",
            "fax_number": "813-872-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141855",
            "telephone_number": "813-443-4611",
            "fax_number": "813-443-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREW",
        "first_name": "MULUKEN",
        "middle_name": "DEMESSIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Tampa, LLC
• Fresenius Medical Care Tampa, LLC
• Nelaisy Fresneda Borges, RBT
• Chase Fretto, LMHC
• Aixa E Fretts, DR
• Carrie Lynn Frey-Davis, LCSW
• Roger Frey, L.D.O.
• Samuel Freyaldenhoven
• Jenny A Freyle, APRN
• Elora Renee Friar, MD

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.