Rida Anis Frayha, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

D21058 Issued in MD

Practice address

3640 Fords LN
Suite E
Baltimore, MD 21215-2931

Phone

(410) 358-2741

Fax

(410) 358-5184

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1750328308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FOX KNOLL CT",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932848",
            "telephone_number": "410-358-2741",
            "fax_number": "410-358-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 FORDS LN",
            "address_2": "SUITE E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152931",
            "telephone_number": "410-358-2741",
            "fax_number": "410-358-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAYHA",
        "first_name": "RIDA",
        "middle_name": "ANIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D21058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429201400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Anthony Fratta, DO
• Carmen Anthony Fratto, M.D.
• Kate Allison Frawley
• P Milo Frawley, ACNP
• Anis Frayha, MD
• Tiffany M Frazee, MD
• Derek Dean Armando Frazer
• Aletta Ann Frazier, M.D.
• Brittany Frazier, LMSW
• Danielle Frazier, MD

• Rheumatology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Rheumatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.