Individual provider Active NPI

Barrett Fricke, M.D.

  • Neuroradiology Physician
  • Indianapolis, IN
National Provider Identifier
1508154667
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
01077181A Issued in IN
Practice address
550 University Blvd
Ste 641
Indianapolis, IN 46202-5149
Phone
(219) 730-0189
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 01077181A IN Primary

Addresses

Primary practice location

550 University Blvd
Ste 641
Indianapolis, IN 46202-5149

Mailing address

550 University Blvd
Ste 641
Indianapolis, IN 46202-5149
Phone (219) 730-0189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170718000787 IN Practitioner - Diagnostic Radiology 4981833688 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologic Associates of Northwest Indiana PCGroup PAC ID 5890754469, 11 clinicians
Pulaski Memorial HospitalGroup PAC ID 3173515509, 45 clinicians
Lutheran HBP Services LLCGroup PAC ID 1254837834, 9 clinicians

Practice addresses (Care Compare)

1900 Roosevelt Rd
Valparaiso, IN 46383-2780
Phone (219) 263-4923

3630 Willowcreek Rd
Portage, IN 46368-5075
Phone (219) 364-3000

616 E 13TH St
Winamac, IN 46996-1117
Phone (574) 946-2100

85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 983-8300

9301 Connecticut Dr
Crown Point, IN 46307-7486
Phone (219) 756-2100

934 Kendall CT
Crown Point, IN 46307-2679
Phone (219) 983-8300

Hospital & facility affiliations

  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
  • Pinnacle Hospital Hospital, Crown Point, IN, CCN 150166
  • Pulaski Memorial Hospital Hospital, Winamac, IN, CCN 151305
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Community Hospital Hospital, Munster, IN, CCN 150125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Regional P E T and Imaging Center, LLC CurrentSince Mar 7, 2022 Accepting new patients
Southlake MRI & Diagnostic Center LLC CurrentSince Jan 1, 2019 Accepting new patients
Lutheran HBP Services, LLC CurrentSince Sep 15, 2025 Accepting new patients
Pulaski Memorial Hospital Current Accepting new patients
Radiologic Associates of Northwest Indiana, PC CurrentSince Aug 7, 2017 Accepting new patients
Pulaski Memorial Hospital Current Accepting new patients
Pulaski Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Pulaski Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients

Locations

7891 Broadway
Ste A
Merrillville, IN 46410
Phone (219) 756-3988

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Organizations & group practices 8

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 6

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1508154667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD",
            "address_2": "STE 641",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "219-730-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD",
            "address_2": "STE 641",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "219-730-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICKE",
        "first_name": "BARRETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IN",
            "license": "01077181A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.