Active NPI
Aaron Fradkin, MD
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1477583961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C5055
- Practice address
- 5555 Del Monte Drive
Unit 2201
Houston, TX 77056-4121 - Phone
- (713) 599-1974
- Fax
- (713) 599-1322
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C5055 | TX | Primary |
Addresses
Primary practice location
5555 Del Monte Drive
Unit 2201
Houston, TX 77056-4121
Mailing address
5555 Del Monte Drive
Unit 2201
Houston, TX 77056-4121
Phone (713) 599-1974
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 |
|---|---|---|---|
| C5055 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184371200000",
"number": "1477583961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 DEL MONTE DRIVE",
"address_2": "UNIT 2201",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770564121",
"telephone_number": "713-599-1974",
"fax_number": "713-599-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 DEL MONTE DRIVE",
"address_2": "UNIT 2201",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770564121",
"telephone_number": "713-599-1974",
"fax_number": "713-599-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRADKIN",
"first_name": "AARON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "C5055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.