Individual provider Active NPI

Freddy B Drews, MD

  • Diagnostic Radiology Physician
  • Hudson, OH
National Provider Identifier
1548293707
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.079547 Issued in OH
Practice address
5655 Hudson Drive
Suite 210
Hudson, OH 44236-4451
Phone
(330) 655-3800
Fax
(330) 655-3828
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35-079547 OH
Diagnostic Radiology Physician 2085R0202X 35.079547 OH Primary

Addresses

Primary practice location

5655 Hudson Drive
Suite 210
Hudson, OH 44236-4451

Mailing address

5655 Hudson Drive
Suite 210
Hudson, OH 44236-4451
Phone (330) 655-3800

Other identifiers 8

IdentifierTypeStateIssuer
000000221244OtherOHUNISON
0304914OtherOHBCMH
P00412318OtherOHRAILROAD MEDICARE
000000503573OtherOHANTHEM
363492OtherOHWELLCARE
7273270OtherOHAETNA
2268586MedicaidOH
732391OtherOHBUCKEYE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061122000290 OH Practitioner - Diagnostic Radiology 3870591043 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.079547OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Jul 30, 2019 Accepting new patients
University Imaging Inc Diagnostic Radiology Past Accepting new patients
University Radiologists of Cleveland Inc Diagnostic Radiology Past Accepting new patients

Locations

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

875 8th St NE
Massillon, OH 44646
Phone (216) 832-8761

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

18181 Pearl Rd
Strongsville, OH 44136
Phone (440) 816-4976

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1548293707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DRIVE",
            "address_2": "SUITE 210",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364451",
            "telephone_number": "330-655-3800",
            "fax_number": "330-655-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DRIVE",
            "address_2": "SUITE 210",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364451",
            "telephone_number": "330-655-3800",
            "fax_number": "330-655-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWS",
        "first_name": "FREDDY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-079547",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.079547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000221244",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH",
            "identifier": "0304914",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00412318",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000503573",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "363492",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7273270",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2268586",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "732391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.