Individual provider Active NPI

Elie K Fraiji Jr., M.D.

  • Surgery Physician
  • Bel Air, MD
National Provider Identifier
1669475869
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0059320 Issued in MD
Practice address
520 Upper Chesapeake Dr
Ste 412
Bel Air, MD 21014-4381
Phone
(443) 643-4400
Fax
(443) 643-4404
NPI assigned
May 23, 2005
Last updated
Jun 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0059320 MD Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr
Ste 412
Bel Air, MD 21014-4381

Mailing address

520 Upper Chesapeake Dr
Ste 412
Bel Air, MD 21014-4381
Phone (443) 643-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110315000640 MD Practitioner - General Surgery 9537341375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Georgetown University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

421 S Union Ave
Suite 201
Havre de Grace, MD 21078-3346
Phone (443) 843-6360

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1199

510 Upper Chesapeake Dr
Suite 417
Bel Air, MD 21014-4336
Phone (443) 643-4438

520 Upper Chesapeake Dr
Suite 412
Bel Air, MD 21014-4381
Phone (443) 643-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)30
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0059320MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Surgical Associates, LLC CurrentSince Apr 1, 2017 Accepting new patients
Upper Chesapeake Surgical Associates, LLC Surgery CurrentSince Apr 1, 2017 Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 412
Bel Air, MD 21014
Phone (443) 643-4400

421 S Union Ave
Ste 201
Hvre de Grace, MD 21078
Phone (443) 843-6360

Interoperability endpoints

  • Direct secure messaging: efraiji651614@direct.umm.edu

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.

Hospital & facility affiliations 2

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1669475869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "STE 412",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144381",
            "telephone_number": "443-643-4400",
            "fax_number": "443-643-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "STE 412",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144381",
            "telephone_number": "443-643-4400",
            "fax_number": "443-643-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAIJI",
        "first_name": "ELIE",
        "middle_name": "K",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0059320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.