Individual provider Active NPI

Alex B Fruin, M.D.

  • Surgery Physician
  • Mt Juliet, TN
National Provider Identifier
1528022019
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD0000039848 Issued in TN
Practice address
660 S Mount Juliet Rd Ste 230
Mt Juliet, TN 37122-3923
Phone
(615) 874-9667
Fax
(615) 871-9682
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD0000039848 TN Primary

Addresses

Primary practice location

660 S Mount Juliet Rd Ste 230
Mt Juliet, TN 37122-3923

Mailing address

410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone (615) 329-7887

Other identifiers 1

IdentifierTypeStateIssuer
1507577MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050527000435 TN Practitioner - General Surgery 1254373475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Vanderbilt University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333

Hospital & facility affiliations

  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
70.45
Promoting interoperability
100
Improvement activities
40
Cost
73.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)21
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000039848TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC Surgery CurrentSince Dec 1, 2024 Accepting new patients
The Surgical Clinic PLLC Surgery CurrentSince Aug 26, 2008 Accepting new patients

Locations

353 New Shackle Island Rd
Ste 102A
Hendersonvlle, TN 37075
Phone (615) 384-8211

3901 Central Pike
Ste 555
Hermitage, TN 37076
Phone (615) 872-1092

660 S Mount Juliet Rd
Ste 230
Mt Juliet, TN 37122
Phone (615) 874-9667

4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007

410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161

2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333

53 Century Blvd
Ste 120
Nashville, TN 37214

356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264

410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • Direct secure messaging: alex.fruin@tsclinic.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA

Organizations & group practices 2

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 1

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1528022019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887",
            "fax_number": "615-292-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S MOUNT JULIET RD STE 230",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223923",
            "telephone_number": "615-874-9667",
            "fax_number": "615-871-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUIN",
        "first_name": "ALEX",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD0000039848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507577",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

Verify at the official NPI Registry.