Individual provider Active NPI

John S Fried, MD

  • Infectious Disease Physician
  • Overland Park, KS
National Provider Identifier
1689752909
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
18381 Issued in KS
Practice address
7011 W 121St St
Overland Park, KS 66209-2009
Phone
(913) 884-1055
NPI assigned
Nov 2, 2006
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100201620AMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331001608 KS Practitioner - Infectious DiseasePractitioner - Internal Medicine 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

ProcedureNumber of procedures
Removal of tissue246
Removal of nail tissue1-10
Removal or shaving of skin growth14
Skin biopsy1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18381KSMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Medical Consultant LLC PastSince Feb 16, 2015 Accepting new patients
John S Fried, MD Infectious Disease PastSince Jan 1, 1990 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.

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": "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

Verify at the official NPI Registry.