Individual provider Active NPI

Fredrick A McCurdy, MD, PHD, MBA

  • Pediatric Nephrology Physician
  • Corpus Christi, TX
National Provider Identifier
1609807312
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
G5962 Issued in TX
Practice address
3533 S Alameda St Ste 210
Corpus Christi, TX 78411-1721
Phone
(361) 694-5022
Fax
(361) 808-2064
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X G5962 TX Primary

Addresses

Primary practice location

3533 S Alameda St Ste 210
Corpus Christi, TX 78411-1721

Mailing address

3533 S Alameda St Ste 210
Corpus Christi, TX 78411-1721
Phone (361) 694-5022

Other practice location 1

5500 N Expressway 77/83
Brownsville, TX 78526-4561
Phone (956) 698-8605

Other identifiers 2

IdentifierTypeStateIssuer
2D4446OtherTXMEDICARE
ENROLLEDMedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091009000497 TX Practitioner - Pediatric MedicinePractitioner - Nephrology 5395881072 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Su Clinica Familiar CurrentSince Sep 6, 2009 Accepting new patients
Children'S Physician Services of South Texas PastSince Aug 28, 2022 Accepting new patients

Locations

1706 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 365-6000

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1609807312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST STE 210",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-694-5022",
            "fax_number": "361-808-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST STE 210",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-694-5022",
            "fax_number": "361-808-2064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 N Expressway 77/83",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785264561",
            "country_code": "US",
            "telephone_number": "956-698-8605",
            "fax_number": "361-808-2076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCURDY",
        "first_name": "FREDRICK",
        "middle_name": "A",
        "credential": "MD, PHD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "TX",
            "license": "G5962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2D4446",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.