Individual provider Active NPI

Rodney R Fritz, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Irving, TX
National Provider Identifier
1669473278
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G3372 Issued in TX
Practice address
1110 Cottonwood LN
Suite 210
Irving, TX 75038-6117
Phone
(972) 259-4781
Fax
(972) 251-1820
NPI assigned
Aug 4, 2005
Last updated
Aug 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G3372 TX Primary

Addresses

Primary practice location

1110 Cottonwood LN
Suite 210
Irving, TX 75038-6117

Mailing address

1110 Cottonwood LN
Suite 210
Irving, TX 75038-6117
Phone (972) 259-4781

Other identifiers 2

IdentifierTypeStateIssuer
118092904MedicaidTX
118092905MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G3372TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Past Accepting new patients
Cardiovascular Specialty Associates of North Texas, PA Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rfritz226187@direct.sw.org

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, 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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1669473278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN",
            "address_2": "SUITE 210",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386117",
            "telephone_number": "972-259-4781",
            "fax_number": "972-251-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN",
            "address_2": "SUITE 210",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386117",
            "telephone_number": "972-259-4781",
            "fax_number": "972-251-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "RODNEY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "G3372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118092904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118092905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.