Active NPI
David Lawrence Fryman, M.D.
- Family Medicine Physician
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01039563A
- Practice address
- 1115 Ronald Reagan Pkwy
Suite 141
Avon, IN 46123-6910 - Phone
- (317) 278-3200
- Fax
- (317) 278-3333
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
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.
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Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Medical Group Inc
Practice addresses (Care Compare)
1206 E National Ave
Brazil, IN 47834-2718
Phone (812) 442-2480
Hospital & facility affiliations
- Ascension St Vincent Clay
- Ascension St Vincent Clay
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090710000481 | IN | Practitioner - Family Practice | 6709884869 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039563A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| University Family Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
1115 Ronald Reagan Pkwy
Ste 141
Avon, IN 46123
Phone (317) 217-2700
1206 E National Ave
Brazil, IN 47834
Phone (812) 442-2480
250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
Interoperability endpoints
- dfryman@direct.iuhealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01039563A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1115 Ronald Reagan Pkwy
Suite 141
Avon, IN 46123-6910
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1206 E National Ave
Brazil, IN 47834-2718
Phone (812) 442-2480
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100357510 | Medicaid | IN |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dfryman@direct.iuhealth.org |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2024.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1750347993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 RONALD REAGAN PKWY",
"address_2": "SUITE 141",
"city": "AVON",
"state": "IN",
"postal_code": "461236910",
"telephone_number": "317-278-3200",
"fax_number": "317-278-3333"
}
],
"practiceLocations": [
{
"address_1": "1206 E National Ave",
"address_purpose": "LOCATION",
"city": "Brazil",
"state": "IN",
"postal_code": "478342718",
"country_code": "US",
"telephone_number": "812-442-2480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRYMAN",
"first_name": "DAVID",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01039563A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100357510",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfryman@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1115 Ronald Reagan Pkwy",
"address_2": "Suite 141",
"city": "Avon",
"state": "IN",
"country_code": "US",
"postal_code": "461236910",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.