NPIMap

Individual provider Active NPI

Kevin Fricka, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Alexandria, VA
National Provider Identifier
1689653784
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
0101239380 Issued in VA
Practice address
2501 Parkers LN Ste 200
Alexandria, VA 22306-3209
Phone
(703) 892-6500
Fax
(703) 799-5989
NPI assigned
Jan 17, 2006
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 0101239380 VA Primary

Addresses

Primary practice location

2501 Parkers LN Ste 200
Alexandria, VA 22306-3209

Mailing address

2800 S Shirlington Rd Ste 1000
Arlington, VA 22206-3614
Phone (703) 892-6500

Other identifiers 10

IdentifierTypeStateIssuer
1429314OtherAETNA HMO
148820100OtherDEPT OF LABOR ID
763958OtherNCPPO
2155571OtherMAMSI ID
239324OtherANTHEM ID
7235819OtherAETNA ID
1429314OtherAETNA PPO
25090077OtherBLUE CROSS BLUE SHIELD ID
259963OtherKAISER
2683333OtherUNITED ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20070119000329 DC Practitioner - Orthopedic Surgery 7517982655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians

Practice addresses (Care Compare)

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 892-6500

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement46
Knee replacement245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101239380VAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Clinic LLC CurrentSince Aug 21, 2006 Accepting new patients
Anderson Clinic LLC Adult Reconstructive Orthopaedic Surgery CurrentSince Aug 21, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Midwest Orthopaedics at Rush, LLC Past Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2501 Parkers Ln
Ste 200
Alexandria, VA 22306
Phone (703) 769-8423

2445 Army Navy Dr
Arlington, VA 22206

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2800 S Shirlington Rd
Ste 1100
Arlington, VA 22206
Phone (703) 769-8423

Interoperability endpoints

  • Direct secure messaging: kevin.fricka@aoc.directbygreenway.com
  • Direct secure messaging: kfricka@andersonclinic.emadirect.md

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 9

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1689653784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 1000",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063614",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PARKERS LN STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063209",
            "telephone_number": "703-892-6500",
            "fax_number": "703-799-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICKA",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "VA",
            "license": "0101239380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1429314",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR ID",
            "identifier": "148820100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "763958",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI ID",
            "identifier": "2155571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "239324",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7235819",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "1429314",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "25090077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "259963",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED ID",
            "identifier": "2683333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.