NPIMap

Individual provider Active NPI

Kenneth Ashton Freeman, M.D.

  • Internal Medicine Physician
  • Lorton, VA
National Provider Identifier
1750714754
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101044146 Issued in VA
Practice address
8915 Rhododendron Circle
Lorton, VA 22079
Phone
(240) 832-5912
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101044146 VA Primary

Addresses

Primary practice location

8915 Rhododendron Circle
Lorton, VA 22079

Mailing address

8915 Rhododendron Circle
Lorton, VA 22079
Phone (240) 832-5912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131218001028 TX Practitioner - Internal Medicine 4284861220 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

East Hwy 18
Pine Ridge, SD 57770-1201
Phone (605) 867-3032

P O Box
Suite 1201
Pine Ridge, SD 57770-1201

P O Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201

PO Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.82
Promoting interoperability
91
Improvement activities
40
Cost
84.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Oct 28, 2013 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Feb 13, 2015 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Nov 10, 2014 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Feb 13, 2015 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Rosebud Indian Health Service CurrentSince Oct 28, 2013 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Nov 10, 2014 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jul 10, 2023 Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

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.

Hospital & facility affiliations 5

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1750714754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 RHODODENDRON CIRCLE",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "22079",
            "telephone_number": "240-832-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 RHODODENDRON CIRCLE",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "22079",
            "telephone_number": "240-832-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KENNETH",
        "middle_name": "ASHTON",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101044146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

Verify at the official NPI Registry.