Individual provider Active NPI

Frederick Steven Falchook, M.D.

  • Diagnostic Radiology Physician
  • Milledgeville, GA
National Provider Identifier
1790725562
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036373 Issued in GA
Practice address
1850 N Columbia St
Milledgeville, GA 31061-2385
Phone
(478) 453-4101
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036373 GA Primary

Addresses

Primary practice location

1850 N Columbia St
Milledgeville, GA 31061-2385

Mailing address

116 Intracoastal Pointe Dr
Suite 300
Jupiter, FL 33477-5024
Phone (561) 744-9122

Other identifiers 2

IdentifierTypeStateIssuer
036373OtherGASTATE LICENSE #
00544794CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050928000584 GA Practitioner - Diagnostic Radiology 6507756574 Reassigns benefits to 3 organizations
I20200220003000 PA Practitioner - Diagnostic Radiology 6507756574 Reassigns benefits to 1 organization
I20240301000856 NY Practitioner - Diagnostic Radiology 6507756574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rye Radiology PLLCGroup PAC ID 5395138515, 3 clinicians

Practice addresses (Care Compare)

30 Rye Ridge PLZ
Rye Brook, NY 10573-2820
Phone (914) 253-9200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Open MRI, LLC CurrentSince Jan 7, 2017 Accepting new patients
Rye Radiology Associates,LLP CurrentSince Apr 15, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Feb 3, 2020 Accepting new patients
Rye Radiology, PLLC Diagnostic Radiology CurrentSince Apr 15, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Feb 1, 2010 Accepting new patients
Wellspan Medical Group CurrentSince Feb 3, 2020 Accepting new patients
Centra Health Inc Past Accepting new patients
Radcare of Tennessee PC Diagnostic Radiology Past Accepting new patients
Southside Community Hospital, Inc. Past Accepting new patients

Locations

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

2516 University Dr
#A
Thomson, GA 30824
Phone (706) 595-4674

1014 Augusta Rd
Ste 1
Thomson, GA 30824
Phone (706) 595-4674

30 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 253-9200

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: fred.falchook@oconeeregional.gadirect.net

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1790725562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 INTRACOASTAL POINTE DR",
            "address_2": "SUITE 300",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775024",
            "telephone_number": "561-744-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N COLUMBIA ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612385",
            "telephone_number": "478-453-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCHOOK",
        "first_name": "FREDERICK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "036373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "036373",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00544794C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.