Active NPI
William A Fridley, M.D.
- Internal Medicine Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J7961
- Practice address
- 9201 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3889 - Phone
- (281) 863-9554
- Fax
- (832) 246-8925
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J7961 | TX | Primary |
Addresses
Primary practice location
9201 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3889
Mailing address
9201 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3889
Phone (281) 863-9554
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096695403 | Medicaid | TX | |
| 8B8661 | Other | TX | BCBS OF TEXAS |
| 096695404 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10970 Shadow Creek Pkwy
Suite 100
Pearland, TX 77584-0166
Phone (281) 398-8500
134 Vision Park Blvd
Shenandoah, TX 77384-3032
17450 St Lukes Way
Suite 230
The Woodlands, TX 77384-8045
Phone (832) 334-7756
17510 W Grand Pkwy S
Sugar Land, TX 77479-2649
7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Gulf Coast, PLLC | Current | Accepting new patients | |
| Privia Medical Group Gulf Coast PLLC | Current | Accepting new patients | |
| Woodlands Diagnostic Clinic, PA | Current | Accepting new patients | |
| Southwest Texas Two Medical Group, PLLC | Past | Accepting new patients | |
| Family Healthcare Affiliates PLLC | Past | Accepting new patients |
Locations
646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001
1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027
7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027
10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500
9201 Pinecroft Dr
Shenandoah, TX 77380
Phone (832) 246-8000
9201 Pinecroft Dr
Ste 200
Shenandoah, TX 77380
Phone (281) 394-4704
134 Vision Park Blvd
Ste 300
Shenandoah, TX 77384
Phone (281) 296-8500
8845 Six Pines Dr
Fl 2
Shenandoah, TX 77380
Phone (281) 367-3343
2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389
Phone (832) 232-5658
17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820
9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- william.fridley.1@8042.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Houston, TX
- NPI 1578969465
-
- Adult Medicine Physician
- Shenandoah, TX
- NPI 1336753508
-
dba Express Pain and Urgent Care
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1457167033
-
- Family Medicine Physician
- Conroe, TX
- NPI 1366497364
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1659950475
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conroe Regional Medical Center
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
-
dba MHHS NW Radiation Therapy
- Radiology Clinic/Center
- Houston, TX
- NPI 1013948553
Hospital
-
dba MHHS Woodlands Outpatient Imaging System
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1275564858
Hospital
-
dba Memorial Hermann Outpatient Imaging-Southwest
- Radiology Clinic/Center
- Houston, TX
- NPI 1407959448
Hospital
-
dba MHHS Friendswood Imaging
- Radiology Clinic/Center
- Friendswood, TX
- NPI 1508896267
Hospital
-
dba MHHS Pearland Outpatient Imaging Center
- Radiology Clinic/Center
- Pearland, TX
- NPI 1669402335
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
dba Houston Methodist The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
dba St. Luke's The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1942208616
-
dba TOPS Surgical Specialty Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1144203662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1760456545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 PINECROFT DR STE 200",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803889",
"telephone_number": "281-863-9554",
"fax_number": "832-246-8925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 PINECROFT DR STE 200",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803889",
"telephone_number": "281-863-9554",
"fax_number": "832-246-8925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIDLEY",
"first_name": "WILLIAM",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J7961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096695403",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8B8661",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096695404",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.