Individual provider Active NPI

William Freudenthal, MD

  • Emergency Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1710071733
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME163879 Issued in FL
Practice address
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone
(317) 802-3140
Fax
(317) 870-0499
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01060456 IN
Emergency Medicine Physician 207P00000X ME163879 FL Primary

Addresses

Primary practice location

2001 W 86TH St
Indianapolis, IN 46260-1902

Mailing address

4685 Reliable Pkwy
Chicago, IL 60686-0001
Phone (317) 802-3140

Other identifiers 1

IdentifierTypeStateIssuer
200524150MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050831000962 IN Practitioner - Emergency Medicine 3072545870 Reassigns benefits to 2 organizations
I20230918000730 FL Practitioner - Emergency Medicine 3072545870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, shared by 18 NPIs, 995 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0800

9820 Hutchinson Park Dr
Jacksonville, FL 32225-7205
Phone (904) 450-6740

Hospital & facility affiliations

  • Schneck Medical Center Hospital, Seymour, IN, CCN 150065
  • Norton-King'S Daughters' Health Hospital, Madison, IN, CCN 150069
  • Rush Memorial Hospital Hospital, Rushville, IN, CCN 151304
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163879FLMDEmergency Medicine Physician
01060456INMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 7, 2023 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Emergency Medicine Physicians of Carteret County, PLLC Emergency Medicine Past Accepting new patients
Indiana Physician Management-Randolph, LLC Emergency Medicine PastSince Dec 1, 2011 Accepting new patients

Locations (25 of 27)

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

9820 Hutchinson Park Dr
Jacksonville, FL 32225
Phone (904) 450-6740

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

1206 E National Ave
Brazil, IN 47834
Phone (812) 442-2480

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

1331 S A St
Elwood, IN 46036
Phone (765) 552-4000

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

801 N State St
Greenfield, IN 46140
Phone (317) 462-5544

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

301 Henry St
North Vernon, IN 47265
Phone (812) 352-4200

2412 E Main St
Plainfield, IN 46168
Phone (317) 204-6800

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

911 N Shelby St
Salem, IN 47167
Phone (812) 883-5881

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Organizations & group practices 8

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 8

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1710071733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001",
            "telephone_number": "317-802-3140",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601902",
            "telephone_number": "317-802-3140",
            "fax_number": "317-870-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUDENTHAL",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01060456",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME163879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200524150",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.