Individual provider Active NPI

Daniel Joseph Frey, MD

  • General Practice Physician
  • Lafayette, LA
National Provider Identifier
1881617892
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
016612 Issued in LA
Practice address
129 Rue Louis Xiv
Lafayette, LA 70508-5738
Phone
(504) 488-8121
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 016612 LA Primary

Addresses

Primary practice location

129 Rue Louis Xiv
Lafayette, LA 70508-5738

Mailing address

PO Box 51293
Lafayette, LA 70505-1293
Phone (337) 456-5765

Other identifiers 1

IdentifierTypeStateIssuer
1350478MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050127000095 LA Practitioner - General SurgeryPractitioner - Other (Physician) 7416907464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Burn Surgeons of Acadiana, LLCGroup PAC ID 9537322888, 4 clinicians

Practice addresses (Care Compare)

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-4279

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016612LAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
The Burn Surgeons of Acadiana, LLC CurrentSince Jan 27, 2018 Accepting new patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients

Locations

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

129 Rue Louis Xiv
Lafayette, LA 70508
Phone (337) 236-8911

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

200 Beaullieu Dr
Ste 3B
Lafayette, LA 70508
Phone (337) 261-9004

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

1340 Poydras St
New Orleans, LA 70112

1340 Poydras St
Ste 1600
New Orleans, LA 70112

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 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1881617892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51293",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051293",
            "telephone_number": "337-456-5765",
            "fax_number": "337-456-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 RUE LOUIS XIV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085738",
            "telephone_number": "504-488-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "016612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1350478",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.