Active NPI
John S Fried, MD
- Infectious Disease Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 18381
- Practice address
- 7011 W 121St St
Overland Park, KS 66209-2009 - Phone
- (913) 884-1055
- NPI assigned
- Nov 2, 2006
- Last updated
- Jan 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 18381 | KS | Primary |
Addresses
Primary practice location
7011 W 121St St
Overland Park, KS 66209-2009
Mailing address
PO Box 2705
Shawnee Mission, KS 66201-2705
Phone (913) 884-1055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100201620A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040331001608 | KS | Practitioner - Infectious Disease | 4082606900 | Practice locations: Overland Park, KS; Shawnee Mission, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7011 W 121St St
Suite 106
Overland Park, KS 66209-2009
Phone (913) 884-1055
9100 W 14TH St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2098
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 246 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 14 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18381 | KS | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Medical Consultant LLC | Past | Accepting new patients | |
| John S Fried, MD | Infectious Disease | Past | Accepting new patients |
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.
-
- Infectious Disease Physician
- Overland Park, KS
- NPI 1962580183
-
- Pain Medicine Physician
- Overland Park, KS
- NPI 1063829562
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth South Overland Park
- General Acute Care Hospital
- Overland Park, KS
- NPI 1316536253
-
dba AdventHealth Shawnee Mission
- General Acute Care Hospital
- Merriam, KS
- NPI 1023171634
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1689752909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2705",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662012705",
"telephone_number": "913-884-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7011 W 121ST ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662092009",
"telephone_number": "913-884-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIED",
"first_name": "JOHN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "KS",
"license": "18381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100201620A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.