Active NPI
Kevin C Frey, MD
- Internal Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35096759
- Practice address
- 7630 Rivers Edge Dr
Columbus, OH 43235-1329 - Phone
- (614) 533-4000
- Fax
- (614) 540-3979
- NPI assigned
- Jul 16, 2009
- 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 | 35096759 | OH | Primary |
Addresses
Primary practice location
7630 Rivers Edge Dr
Columbus, OH 43235-1329
Mailing address
5450 Frantz Rd
Ste 250
Dublin, OH 43016-4134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065958 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Internal Medicine
- Education
- Northeastern Ohio University College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 Mercy Dr NW
Mercy Medical Ctr PR
Canton, OH 44708-2641
Phone (330) 489-1400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35096759 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Physician Professional Corporation | Internal Medicine | Current | Accepting new patients |
| My Community Health Center | Internal Medicine | Current | Accepting new patients |
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients | |
| Quest Recovery Center, LLC | Current | Accepting new patients | |
| Quest Recovery Center, LLC | Current | Accepting new patients | |
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients | |
| My Community Health Center | Current | Accepting new patients |
Locations
1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000
2600 7th St SW
Canton, OH 44710
Phone (330) 363-6242
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
8947 Antares Ave
Columbus, OH 43240
Phone (614) 825-0900
3094 W Market St
Ste 360
Fairlawn, OH 44333
Phone (614) 987-8847
112 Harcourt Rd
Ste 2
Mount Vernon, OH 43050
Phone (614) 314-4568
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- Federally Qualified Health Center (FQHC)
- Canton, OH
- NPI 1588117147
Internal Medicine
-
- Hospitalist Physician
- Canton, OH
- NPI 1417016973
Internal Medicine
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Mount Vernon, OH
- NPI 1104450063
-
- Dental Clinic/Center
- Canton, OH
- NPI 1023362100
-
- Federally Qualified Health Center (FQHC)
- Canton, OH
- NPI 1659146884
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mount Vernon, OH
- NPI 1174283436
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1477783140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 FRANTZ RD",
"address_2": "STE 250",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7630 RIVERS EDGE DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432351329",
"telephone_number": "614-533-4000",
"fax_number": "614-540-3979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "KEVIN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-16",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35096759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0065958",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.
- 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.