Individual provider Active NPI

Tristan Blase Fried, MD

  • Orthopaedic Surgery of the Spine Physician
  • Honolulu, HI
National Provider Identifier
1760047096
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
MD-25682 Issued in HI
Practice address
500 Ala Moana Blvd Ste 4-470
Honolulu, HI 96813-4925
Phone
(808) 909-9115
NPI assigned
May 2, 2019
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PA
Orthopaedic Surgery of the Spine Physician 207XS0117X MD-25682 HI Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X 036168181 IL

Addresses

Primary practice location

500 Ala Moana Blvd Ste 4-470
Honolulu, HI 96813-4925

Mailing address

1611 W Harrison St Ste 201
Chicago, IL 60612-4861
Phone (312) 563-6306

Other practice location 1

925 Chestnut St Fl 5
Philadelphia, PA 19107-4206
Phone (267) 339-3738

Other practice location 2

1611 W Harrison St Ste 201
Chicago, IL 60612-4861
Phone (312) 563-6306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20250827001182 HI Practitioner - Orthopedic Surgery 7517291396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excel Spine and Orthopedic Institute LLCGroup PAC ID 4880064252, 9 clinicians

Practice addresses (Care Compare)

500 Ala Moana Blvd
Suite 4 445
Honolulu, HI 96813-4906
Phone (808) 358-6200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion19
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-25682HIMDOrthopaedic Surgery of the Spine Physician
036168181ILMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Spine & Orthopedic Institute LLC Orthopaedic Surgery of the Spine CurrentSince Aug 1, 2025 Accepting new patients
Honolulu Spine Center, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

500 Ala Moana Blvd
Bldg 4
Honolulu, HI 96813
Phone (808) 909-9115

500 Ala Moana Blvd
Ste 301
Honolulu, HI 96813
Phone (808) 237-2970

500 Ala Moana Blvd
Ste 4445
Honolulu, HI 96813
Phone (808) 358-6200

500 Ala Moana Blvd
Ste 4470
Honolulu, HI 96813
Phone (808) 495-0906

64-5188 Kinohou St
Kamuela, HI 96743
Phone (808) 887-0600

Interoperability endpoints

  • Direct secure messaging: tristan.fried@525248468418564.direct.elationemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1760047096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W HARRISON ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124861",
            "telephone_number": "312-563-6306",
            "fax_number": "312-942-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 4-470",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134925",
            "telephone_number": "808-909-9115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Chestnut St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074206",
            "country_code": "US",
            "telephone_number": "267-339-3738",
            "fax_number": "267-339-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 W Harrison St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124861",
            "country_code": "US",
            "telephone_number": "312-563-6306",
            "fax_number": "312-942-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIED",
        "first_name": "TRISTAN",
        "middle_name": "BLASE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "HI",
            "license": "MD-25682",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IL",
            "license": "036168181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.