William H Fredriksson Jr., MD PHD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME154478 Issued in FL

Practice address

1921 Waldemere St Ste 310
Sarasota, FL 34239-2941

Phone

(941) 917-5400

Fax

(941) 917-5420

NPI assigned

Oct 21, 2005

Last updated

Jan 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Urology

Education

University of Texas Medical School at Houston, 1994

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Sarasota, FL, CCN 109509
• Concierge Home Care Home health agency, Tampa, FL, CCN 108019
• Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
• Sarasota Memorial Homecare Home health agency, Sarasota, FL, CCN 107710
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: william.fredriksson@fpg.directbygreenway.com

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.

• SMH Physician Services Inc

  dba First Physicians Group

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1346295292
  Medicare reassignment Care Compare group NPD
• SMH Physician Services Inc

  dba First Physicians Group

  • Gynecology Physician
  • Sarasota, FL
  • NPI 1275525826
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baycare Home Care, Inc.

  dba dba Sarasota Memorial Home Care

  • Home Health Agency
  • Sarasota, FL
  • NPI 1013915149
  Care Compare affiliation
• Concentric Homecare, LLC

  dba Concierge Home Care

  • Home Health Agency
  • Sarasota, FL
  • NPI 1003077066
  Care Compare affiliation
• Liberty I, LLC

  dba Concierge Home Care

  • Home Health Agency
  • Tampa, FL
  • NPI 1588616015
  Care Compare affiliation
• Providia Home Care LLC.

  dba Preferred Care Home Health Services

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1245409010
  Care Compare affiliation
• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital - Venice

  • General Acute Care Hospital
  • North Venice, FL
  • NPI 1013534445
  Care Compare affiliation
• Sarasota County Public Hospital District

  dba Sarasota Memorial Hospital

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1841280872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST STE 310",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392941",
            "telephone_number": "941-917-5400",
            "fax_number": "941-917-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRIKSSON",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ID",
            "license": "M8037",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME154478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS MERIDIAN",
            "identifier": "000010153906",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS NAMPA",
            "identifier": "000010153908",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR  MEDICARE",
            "identifier": "P00288611",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC MERIDIAN",
            "identifier": "76706",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805784300",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC NAMPA",
            "identifier": "B5442",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal Suzanne Frazier
• Frederick E. Soto, Jr., O.D., P.a.
• Frederick E. Soto, Jr., O.D., P.a.
• Frederick R. Yturralde, M.D., P.a.
• Ariel Frederick, MD
• Heather Lee Freed, ARNP
• Freedom Rehab Inc.
• Freedom22 SRQ (Revitalized Health)
• Jennifer Freel, RLMHC
• Audrey G Freeman, AU.D.

• Urology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.

Verify at the official NPI Registry.