Individual provider Active NPI

Keith A Frick, M.D.

  • Rheumatology Physician
  • Charlottesville, VA
National Provider Identifier
1629046933
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101232991 Issued in VA
Practice address
650 Peter Jefferson Pkwy
Ste 190
Charlottesville, VA 22911-8844
Phone
(434) 243-0439
Fax
(434) 243-0455
NPI assigned
Mar 11, 2006
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101232991 VA
Rheumatology Physician 207RR0500X 0101232991 VA Primary

Addresses

Primary practice location

650 Peter Jefferson Pkwy
Ste 190
Charlottesville, VA 22911-8844

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfrick202637@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100929000673 VA Practitioner - Rheumatology 1355465477 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101232991VAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Jun 4, 2013 Accepting new patients
Albemarle Arthritis Associates Specialist CurrentSince Apr 18, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Rector & Visitors of the University of Virginia PastSince Oct 19, 2020 Accepting new patients

Locations

650 Peter Jefferson Pkwy
Ste 190
Charlottesville, VA 22911
Phone (434) 243-0439

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1410 Incarnation Dr
Ste 205
Charlottesvle, VA 22901
Phone (434) 296-6161

Interoperability endpoints

  • Direct secure messaging: kfrick202637@direct.healthsystem.virginia.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1629046933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 PETER JEFFERSON PKWY",
            "address_2": "STE 190",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118844",
            "telephone_number": "434-243-0439",
            "fax_number": "434-243-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICK",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101232991",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101232991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfrick202637@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "650 Peter Jefferson Pkwy",
            "address_2": "Ste 190",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229118844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.