Frederick Ivan Ende, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

BC83897 Issued in VA

Practice address

121 S Market St
Petersburg, VA 23803-4217

Phone

(804) 733-8771

Fax

(804) 733-1017

NPI assigned

Sep 22, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

State licenses

Practice roles

Locations

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.

• Ende Medical Practice, LLP

  • Internal Medicine Physician
  • Petersburg, VA
  • NPI 1710007430
  Medicare reassignment NPD
• Hemodialysis Assoc PC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Petersbury, VA
  • NPI 1013004043

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1497855373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S MARKET ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034217",
            "telephone_number": "804-733-8771",
            "fax_number": "804-733-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MARKET ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034217",
            "telephone_number": "804-733-8771",
            "fax_number": "804-733-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDE",
        "first_name": "FREDERICK",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "BC83897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005861861",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "250896",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ashley
• Emily Ashley
• Empty Arms Outreach Ministry, Inc.
• Encompass Health Rehabilitation Hospital of Petersburg, LLC
• Ende Medical Practice, LLP
• Mark Ende, M.D.
• Lois Engelberger, ANP
• Envision One
• Envision One Mental Health Skill Building, LLC
• Envision One Outpatient Services, LLC

• Internal Medicine Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.