Individual provider Active NPI

Michael S Frederiksen, DPM

  • Podiatrist
  • Salina, KS
National Provider Identifier
1851481063
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
12-00322 Issued in KS
Practice address
430 S Ohio St
Salina, KS 67401-3177
Phone
(785) 825-0003
Fax
(785) 825-0099
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 12-00322 KS Primary

Addresses

Primary practice location

430 S Ohio St
Salina, KS 67401-3177

Mailing address

430 S Ohio St
Salina, KS 67401-3177
Phone (785) 825-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031231000390 KS Practitioner - Podiatry 6406754258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Southwind PL
Manhattan, KS 66503-3186
Phone (785) 825-0003

430 S Ohio St
Salina, KS 67401-3177
Phone (785) 825-0003

Merit-based Incentive Payment System (MIPS)

Final score
79.26 of 100Reported as group
Quality
86
Promoting interoperability
100
Improvement activities
40
Cost
42.82

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue769
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12-00322KSMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Health Center, PA Podiatrist CurrentSince Dec 30, 2003 Accepting new patients

Locations

1106 Saint Marys Rd
Ste 203
Junction City, KS 66441
Phone (785) 238-4131

200 Southwind Pl
Ste 204
Manhattan, KS 66503

430 S Ohio St
Salina, KS 67401
Phone (785) 825-0003

1011 E Prescott Rd
Salina, KS 67401
Phone (785) 404-1712

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1851481063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013177",
            "telephone_number": "785-825-0003",
            "fax_number": "785-825-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013177",
            "telephone_number": "785-825-0003",
            "fax_number": "785-825-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERIKSEN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "12-00322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.