Individual provider Active NPI

Stephen David Frausto, M.D.

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
National Provider Identifier
1811105117
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36752 Issued in AZ
Practice address
5605 W Eugie Ave Ste 111
Glendale, AZ 85304-1273
Phone
(480) 756-6000
Fax
(855) 636-8770
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 36752 AZ
Obstetrics & Gynecology Physician 207V00000X 36752 AZ Primary

Addresses

Primary practice location

5605 W Eugie Ave Ste 111
Glendale, AZ 85304-1273

Mailing address

5605 W Eugie Ave Ste 111
Glendale, AZ 85304-1273
Phone (480) 756-0000

Other identifiers 1

IdentifierTypeStateIssuer
225113MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephen.frausto.1@20219.direct.athenahealth.com Direct Valley Perinatal Services, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070625000648 AZ Practitioner - Obstetrics/Gynecology 6507965035 Reassigns benefits to 1 organization
I20200226001947 TX Practitioner - Obstetrics/Gynecology 6507965035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Iowa, RJ & L Carver College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Perinatal Services LLCGroup PAC ID 1658505011, 61 clinicians

Practice addresses (Care Compare)

5605 W Eugie Ave
Suite 111
Glendale, AZ 85304-1273
Phone (480) 756-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36752AZMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Jan 9, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jan 9, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Valley Perinatal Services, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Fetal and Women'S Center of Arizona, LLC Past Accepting new patients

Locations

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

5605 W Eugie Ave
Ste 111
Glendale, AZ 85304
Phone (480) 306-8195

9440 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 551-9700

630 N Alvernon Way
Ste 480
Tucson, AZ 85711

Interoperability endpoints

  • Direct secure messaging: stephen.frausto.1@20219.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1811105117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 111",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041273",
            "telephone_number": "480-756-0000",
            "fax_number": "855-636-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 111",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041273",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAUSTO",
        "first_name": "STEPHEN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "36752",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "36752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225113",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.frausto.1@20219.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Valley Perinatal Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5605 W Eugie Ave Ste 111",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853041273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.