Individual provider Active NPI

Kristine Freyaldenhoven, M.D.

  • Specialist
  • Overland Park, KS
National Provider Identifier
1801892815
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04-31304 Issued in KS
Practice address
7450 Kessler St
Ste 150
Overland Park, KS 66204-2550
Phone
(913) 677-2508
Fax
(913) 677-0631
NPI assigned
Jun 23, 2005
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 04-31304 KS Primary
Surgery Physician 208600000X 04-31304 KS

Addresses

Primary practice location

7450 Kessler St
Ste 150
Overland Park, KS 66204-2550

Mailing address

7450 Kessler St
Ste 150
Overland Park, KS 66204-2550
Phone (913) 677-2508

Other identifiers 4

IdentifierTypeStateIssuer
200269550AMedicaidKS
P00278025OtherKSRR MEDICARE
Q67D811OtherKSMEDICARE
104860OtherKSKS MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050805000764 KS Practitioner - General Surgery 1355385899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowe and Freyaldenhoven MDS CharteredGroup PAC ID 4688661804, 2 clinicians

Practice addresses (Care Compare)

7450 Kessler St
Suite 150
Overland Park, KS 66204-2550
Phone (913) 677-2508

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy15
Removal of tissue146
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-31304KSMDSpecialist

Organizations & group practices 1

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1801892815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST",
            "address_2": "STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042550",
            "telephone_number": "913-677-2508",
            "fax_number": "913-677-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST",
            "address_2": "STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042550",
            "telephone_number": "913-677-2508",
            "fax_number": "913-677-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREYALDENHOVEN",
        "first_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-31304",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-31304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200269550A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00278025",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q67D811",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS MEDICARE",
            "identifier": "104860",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.