Individual provider Active NPI

Timothy Edward Frei, M D

  • Specialist
  • Ahoskie, NC
National Provider Identifier
1851390280
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
26000 Issued in NC
Practice address
312 Academy St S
Ahoskie, NC 27910-3200
Phone
(252) 332-4155
Fax
(252) 332-6527
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 26000 NC Primary

Addresses

Primary practice location

312 Academy St S
Ahoskie, NC 27910-3200

Mailing address

312 Academy St S
PO Box 340
Ahoskie, NC 27910-3200
Phone (252) 332-4155

Other identifiers 2

IdentifierTypeStateIssuer
010157OtherNCBCBS
8933883MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tfrei24545@direct.vidanthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100318000837 NC Practitioner - Internal Medicine 4183759335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

500 Academy St S
Vidant Roanoke Chowan Hospitalists
Ahoskie, NC 27910-3248
Phone (252) 209-3708

Hospital & facility affiliations

  • Vidant Roanoke Chowan Hospital Hospital, Ahoskie, NC, CCN 340099
  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040
  • Ecu Health Bertie Hospital Hospital, Windsor, NC, CCN 341304

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Jun 21, 2010 Accepting new patients
Accordius Health at Creekside Care, LLC Past Accepting new patients
Down East Living & Rehab Center, LLC Past Accepting new patients

Locations

312 Academy St S
Ste B
Ahoskie, NC 27910
Phone (252) 209-0388

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

312 Academy St S
Ahoskie, NC 27910
Phone (252) 332-4101

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Organizations & group practices 3

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 4

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1851390280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 ACADEMY ST S",
            "address_2": "PO BOX 340",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103200",
            "telephone_number": "252-332-4155",
            "fax_number": "252-332-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103200",
            "telephone_number": "252-332-4155",
            "fax_number": "252-332-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREI",
        "first_name": "TIMOTHY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "26000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010157",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8933883",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tfrei24545@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.