Individual provider Active NPI

Walid Wajih Freij, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Selma, AL
National Provider Identifier
1861586034
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
18755 Issued in AL
Practice address
217 Broad St
Selma, AL 36701-4589
Phone
(334) 872-8627
Fax
(334) 872-8629
NPI assigned
Oct 3, 2006
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 18755 AL Primary

Addresses

Primary practice location

217 Broad St
Selma, AL 36701-4589

Mailing address

217 Broad St
Selma, AL 36701-4589
Phone (334) 872-8627

Other identifiers 6

IdentifierTypeStateIssuer
7562326OtherALAETNA
000032578MedicaidAL
270304OtherALPRIME HEALTH
32578OtherALBLUE CROSS/BLUE SHIELD
529702780MedicaidAL
130016634OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20101220000634 AL Practitioner - Neurology 2668660598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1013 Medical Ctr Pkwy
BLDG III
Selma, AL 36701-6742
Phone (334) 872-8627

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.34 of 100Reported as individual
Quality
82.92
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18755ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Central Alabama Specialist CurrentSince Aug 21, 1997 Accepting new patients

Locations

1013 Medical Center Pkwy
Bldg Iii
Selma, AL 36701
Phone (334) 872-8627

217 Broad St
Selma, AL 36701
Phone (334) 872-8627

217 Broad St
Fl 2
Selma, AL 36701
Phone (334) 872-8627

Interoperability endpoints

  • Direct secure messaging: wfreij@selma.adaptamed.direct-ci.com
  • Direct secure messaging: wfreij@thomasville.adaptamed.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1861586034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014589",
            "telephone_number": "334-872-8627",
            "fax_number": "334-872-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014589",
            "telephone_number": "334-872-8627",
            "fax_number": "334-872-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIJ",
        "first_name": "WALID",
        "middle_name": "WAJIH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "AL",
            "license": "18755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7562326",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000032578",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME HEALTH",
            "identifier": "270304",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "32578",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529702780",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130016634",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.