Individual provider Active NPI

Frederick J. Seidel, MD

  • Hospitalist Physician
  • Frisco, CO
National Provider Identifier
1730147851
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0051602 Issued in CO
Practice address
340 Peak One Dr
Frisco, CO 80443
Phone
(717) 461-6754
NPI assigned
May 1, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X DR.0051602 CO Primary

Addresses

Primary practice location

340 Peak One Dr
Frisco, CO 80443

Mailing address

PO Box 1230
Silverthorne, CO 80498-1230
Phone (717) 461-6754

Other practice location 1

1000 Evelyn Dr
Millersburg, PA 17061-1258
Phone (717) 692-4761

Other identifiers 3

IdentifierTypeStateIssuer
000194618OtherBLUE SHIELD
0881316MedicaidPA
110233958OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20171007000185 CO Practitioner - Internal Medicine 2769517200 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0051602COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a Norden M.D.,PC CurrentSince Aug 12, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730147851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "SILVERTHORNE",
            "state": "CO",
            "postal_code": "804981230",
            "telephone_number": "717-461-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PEAK ONE DR",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "717-461-6754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Evelyn Dr",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "PA",
            "postal_code": "170611258",
            "country_code": "US",
            "telephone_number": "717-692-4761",
            "fax_number": "717-692-2381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "FREDERICK",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0051602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000194618",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0881316",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110233958",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.