Walter E Fritz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01024309A Issued in IN

Practice address

1002 S Edgewood Dr
Knox, IN 46534-8226

Phone

(574) 772-2188

Fax

(574) 772-2190

NPI assigned

Jun 5, 2006

Last updated

Oct 20, 2020By 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 1

Addresses

Other identifiers 8

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: walter.fritz@kwchc.ssdirect.aprima.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.

• Knox Winamac Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Knox, IN
  • NPI 1629248919

  Family Medicine

  Medicare reassignment NPD
• Knox-Winamac Community Health Centers, Inc.

  • Family Medicine Physician
  • Winamac, IN
  • NPI 1528000395
  NPD
• Knox Family Practice

  dba Knox Family Practice RHC

  • Rural Health Clinic/Center
  • Knox, IN
  • NPI 1346373743
  NPD (past)
• Knox Winamac Community Health Centers, Inc

  • Family Medicine Physician
  • Knox, IN
  • NPI 1619921558
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1851330112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S EDGEWOOD DR",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465348226",
            "telephone_number": "574-772-2188",
            "fax_number": "574-772-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S EDGEWOOD DR",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465348226",
            "telephone_number": "574-772-2188",
            "fax_number": "574-772-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "WALTER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-10-20",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01024309A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200020860A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "87-0778393",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WALTER FRITZ,M.D. LICENSE",
            "identifier": "01024309A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN NUMBER",
            "identifier": "000000083056",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100225090A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200897290",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "351301967",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION LICENSE",
            "identifier": "50000720A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "w.fritz@kwchc.ssdirect.aprima.com",
            "affiliation": "N",
            "address_1": "1002 S Edgewood Dr",
            "city": "Knox",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465348226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "w.fritz@kwchcssdirect.aprima.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1002 S Edgewood Dr",
            "city": "Knox",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465348226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Duff, N.P.
• Dycora Transitional Health - Knox LLC
• Emcare Physician Providers, Inc.
• Jennifer R Frasure, FNP
• Rabion Andrew Frasure Jr., DDS
• Genoa Healthcare LLC
• Cameron R Gilbert, PHD
• Amye Renee Gourley, LCSW
• Healthlinc, Inc
• Hendricks County Hospital (Brickyard Healthcare - Knox Care Center)

• Family Medicine Physician in Knox, IN
• Providers in Knox, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.