Individual provider Active NPI

Eric D Friskel, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Lee's Summit, MO
National Provider Identifier
1649236647
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
20030000620 Issued in MO
Practice address
3470 NE Ralph Powell Rd
Suite B
Lees Summit, MO 64064-2336
Phone
(913) 498-3003
Fax
(913) 341-5958
NPI assigned
Apr 26, 2006
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2003000620 MO
Pulmonary Disease Physician 207RP1001X 0425916 KS
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0425916 KS
Sleep Medicine (Internal Medicine) Physician 207RS0012X 20030000620 MO Primary

Addresses

Primary practice location

3470 NE Ralph Powell Rd
Suite B
Lees Summit, MO 64064-2336

Mailing address

3470 NE Ralph Powell Rd
Suite B
Lees Summit, MO 64064-2336
Phone (913) 498-3003

Other identifiers 4

IdentifierTypeStateIssuer
2003000620OtherMOSTATE LICENSE
0425916OtherKSSTATE LICENSE
206045403MedicaidMO
100451700AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20080701000016 KS Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8527034594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1731 N 90TH St
Kansas City, KS 66112-1515

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00280IAMDMental Health Counselor
20030000620MOMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Select Specialty Hospital - Kansas City, Inc. CurrentSince Apr 2, 2014 Accepting new patients
Select Specialty Hospital - Kansas City Inc CurrentSince Apr 2, 2014 Accepting new patients
Kansas City Pulmonary Clinic PA Pulmonary Disease Past Accepting new patients
RMC HBP, LLC Pulmonary Disease Past Accepting new patients
Segal Aaronson Pulmonary Associates PC Pulmonary Disease Past Accepting new patients

Locations

1731 N 90th St
Kansas City, KS 66112
Phone (913) 732-5900

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1649236647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 NE RALPH POWELL RD",
            "address_2": "SUITE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642336",
            "telephone_number": "913-498-3003",
            "fax_number": "913-341-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 NE RALPH POWELL RD",
            "address_2": "SUITE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642336",
            "telephone_number": "913-498-3003",
            "fax_number": "913-341-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISKEL",
        "first_name": "ERIC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2003000620",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "0425916",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "KS",
            "license": "0425916",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MO",
            "license": "20030000620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2003000620",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0425916",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206045403",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100451700A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.