Active NPI
Parinda Kanaiyalal Fruchtman, MD
- Family Medicine Physician
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9700247
- Practice address
- 1406A W Innes St
Salisbury, NC 28144-2502 - Phone
- (704) 639-0407
- Fax
- (704) 639-9599
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9700247 | NC | Primary |
Addresses
Primary practice location
1406A W Innes St
Salisbury, NC 28144-2502
Mailing address
105 Willow Rd
Salisbury, NC 28147-7746
Phone (704) 630-0097
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890208L | Medicaid | NC | |
| 0208L | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100907000589 | NC | Practitioner - Family Practice | 2264556661 | Reassigns benefits to 1 organization |
| I20190719000784 | TX | Practitioner - Family Practice | 2264556661 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10400 N Central Expy
Dallas, TX 75231-2297
Phone (972) 499-4266
1406 A W Innes St
Salisbury, NC 28144-2502
Phone (704) 639-0407
Hospital & facility affiliations
- Novant Health Rowan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9700247 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rowan Primary Care, PC | Current | Accepting new patients | |
| Au Monitoring LLC | Current | Accepting new patients | |
| Texas Pain Enterprises LLC | Current | Accepting new patients |
Locations
1406A W Innes St
Salisbury, NC 28144
Phone (704) 639-0407
10400 N Central Expy
Dallas, TX 75231
Phone (972) 884-4400
Interoperability endpoints
- parinda.fruchtman@3399.securemail.prognocis.com
- parinda.fruchtman@3436.securemail.prognocis.com
Organizations & group practices 4
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.
-
- Anesthesiologist Assistant
- Irving, TX
- NPI 1669922472
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Dallas, TX
- NPI 1164656872
TX
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831277425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WILLOW RD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281477746",
"telephone_number": "704-630-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406A W INNES ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442502",
"telephone_number": "704-639-0407",
"fax_number": "704-639-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUCHTMAN",
"first_name": "PARINDA",
"middle_name": "KANAIYALAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9700247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890208L",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0208L",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.