NPIMap

Individual provider Active NPI

Elisabeth Katerina Frei, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1679864284
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q7870 Issued in TX
Practice address
17218 Preston Rd Ste 2000
Dallas, TX 75252-4018
Phone
(877) 866-7123
NPI assigned
Apr 29, 2011
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q7870 TX Primary
Surgery Physician 208600000X Q7870 TX

Addresses

Primary practice location

17218 Preston Rd Ste 2000
Dallas, TX 75252-4018

Mailing address

PO Box 742712
Atlanta, GA 30374-2712
Phone (877) 866-7123

Other identifiers 1

IdentifierTypeStateIssuer
406641701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160912000995 TX Practitioner - Family PracticePractitioner - General SurgeryPractitioner - Peripheral Vascular Disease 9537455928 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
University of South Florida College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Surgery Associates PAGroup PAC ID 0042122137, 58 clinicians
North Texas Critical Care PAGroup PAC ID 6103041637, 79 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (214) 821-1599

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Critical Care PA CurrentSince Oct 1, 2025 Accepting new patients
Urgent Surgery Associates, P.a. CurrentSince Oct 1, 2025 Accepting new patients
Vohra Post Acute Care Physicians of Texas, PLLC Family Medicine CurrentSince Dec 2, 2019 Accepting new patients

Locations

1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185

3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484

401 W Arbrook Blvd
Arlington, TX 76014
Phone (817) 466-3094

5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

17218 Preston Rd
Ste 2000
Dallas, TX 75252
Phone (469) 518-8472

2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303

3500 Gaston Ave
Dallas, TX 75246

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

Interoperability endpoints

  • Direct secure messaging: efrei457066@direct.sw.org

Organizations & group practices 3

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1679864284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742712",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742712",
            "telephone_number": "877-866-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17218 PRESTON RD STE 2000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752524018",
            "telephone_number": "877-866-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREI",
        "first_name": "ELISABETH",
        "middle_name": "KATERINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q7870",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q7870",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406641701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.