Active NPI
Barrett Fricke, M.D.
- Neuroradiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 01077181A
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCPulaski Memorial HospitalLutheran HBP Services LLC
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
- Pinnacle Hospital
- Pulaski Memorial Hospital
- St Mary Medical Center Inc
- Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Regional P E T and Imaging Center, LLC | Current | Accepting new patients | |
| Southlake MRI & Diagnostic Center LLC | Current | Accepting new patients | |
| Lutheran HBP Services, LLC | Current | Accepting new patients | |
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Radiologic Associates of Northwest Indiana, PC | Current | Accepting new patients | |
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Pulaski Memorial Hospital | Current | 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.
-
- Diagnostic Radiology Physician
- Valparaiso, IN
- NPI 1235186867
IN
-
- Radiology Clinic/Center
- Merrillville, IN
- NPI 1750471470
-
- Skilled Nursing Facility
- South Bend, IN
- NPI 1093750119
-
- Rural Health Clinic/Center
- Francesville, IN
- NPI 1245710086
-
- Radiology Clinic/Center
- Merrillville, IN
- NPI 1134178148
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.
- 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.