Individual provider Active NPI

Mark J Fritz, M.D.

  • Ophthalmology Physician
  • Joliet, IL
National Provider Identifier
1669509550
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036099618 Issued in IL
Practice address
212 N Larkin Ave
Joliet, IL 60435-6604
Phone
(815) 741-0666
Fax
(815) 741-0649
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036099618 IL Primary

Addresses

Primary practice location

212 N Larkin Ave
Joliet, IL 60435-6604

Mailing address

212 N Larkin Ave
Joliet, IL 60435-6604
Phone (815) 741-0666

Other identifiers 1

IdentifierTypeStateIssuer
036099618MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100610001134 IL Practitioner - Ophthalmology 9032249420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 N Larkin Ave
Joliet, IL 60435-6604
Phone (815) 741-0666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
80.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036099618ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Fritz MD LTD Ophthalmology CurrentSince Jan 1, 2002 Accepting new patients

Locations

212 N Larkin Ave
Joliet, IL 60435
Phone (815) 741-0666

Interoperability endpoints

  • Direct secure messaging: markfritzmd@markfritzmd.direct.eyemdemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1669509550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356604",
            "telephone_number": "815-741-0666",
            "fax_number": "815-741-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356604",
            "telephone_number": "815-741-0666",
            "fax_number": "815-741-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036099618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099618",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.