Individual provider Active NPI

Edmund A Freund, MD

  • Family Medicine Physician
  • Lodi, CA
National Provider Identifier
1740237155
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34171 Issued in CA
Practice address
1901 W Kettleman LN
Suite 200
Lodi, CA 95242-4337
Phone
(209) 334-8540
Fax
(209) 368-2885
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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 A34171 CA
Family Medicine Physician 207Q00000X A34171 CA Primary

Addresses

Primary practice location

1901 W Kettleman LN
Suite 200
Lodi, CA 95242-4337

Mailing address

PO Box 241011
Lodi, CA 95241-9511
Phone (209) 339-7825

Other identifiers 1

IdentifierTypeStateIssuer
00A341710MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080703000602 CA Practitioner - Family PracticePractitioner - Emergency Medicine 7315920824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34171CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2020 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Jan 1, 2009 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2020 Accepting new patients
California Em-I Medical Services Emergency Medicine Past Accepting new patients
California Em-I Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7600

1901 W Kettleman Ln
Ste 200
Lodi, CA 95242
Phone (209) 334-8540

975 S Fairmont Ave
#1
Lodi, CA 95240
Phone (209) 339-7575

845 S Fairmont Ave
Ste 8
Lodi, CA 95240
Phone (209) 339-7410

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

801 S Ham Ln
Ste S
Lodi, CA 95242
Phone (209) 333-8066

2415 W Vine St
Ste 105
Lodi, CA 95242
Phone (209) 333-3121

10200 Trinity Pkwy
Ste 102
Stockton, CA 95219
Phone (209) 948-0808

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vienna Nursing and Rehabilitation CenterLodi, CA, CCN 055481 Skilled nursing facility Adp of the SNF Aug 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 2

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1740237155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241011",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952419511",
            "telephone_number": "209-339-7825",
            "fax_number": "209-339-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W KETTLEMAN LN",
            "address_2": "SUITE 200",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424337",
            "telephone_number": "209-334-8540",
            "fax_number": "209-368-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUND",
        "first_name": "EDMUND",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A34171",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.