Individual provider Active NPI

Raymond A Fritz Jr., DPM

  • Foot Surgery Podiatrist
  • Allentown, PA
National Provider Identifier
1881679983
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC002989L Issued in PA
Practice address
2414 Walbert Ave
Allentown, PA 18104-1326
Phone
(610) 434-7000
Fax
(610) 434-7029
NPI assigned
Dec 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002989L PA
Primary Podiatric Medicine Podiatrist 213EP1101X SC002989L PA
Foot Surgery Podiatrist 213ES0131X SC002989L PA Primary

Addresses

Primary practice location

2414 Walbert Ave
Allentown, PA 18104-1326

Mailing address

2414 Walbert Ave
Allentown, PA 18104-1326
Phone (610) 434-7000

Other identifiers 1

IdentifierTypeStateIssuer
0012410900001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150819006949 PA Practitioner - Podiatry 1557263431 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allentown Family Foot Care Professional CorporationGroup PAC ID 8921900804, 8 clinicians

Practice addresses (Care Compare)

2100 Hanover Ave
Allentown, PA 18109-2447
Phone (610) 434-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue20
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC002989LPAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Podiatrist Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 4, 2018 Accepting new patients
Star Community Health, Inc CurrentSince Mar 23, 2019 Accepting new patients
Allentown Family Foot Care Professional Corporation Podiatrist CurrentSince Aug 30, 1993 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 4, 2018 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 1, 2016 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Star Community Health, Inc CurrentSince Mar 23, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jul 1, 2016 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

401 N 17th St
Ste 105
Allentown, PA 18104
Phone (610) 432-2013

1633 N 26th St
Allentown, PA 18104
Phone (610) 432-7100

2414 Walbert Ave
Allentown, PA 18104
Phone (610) 434-7000

511 E 3rd St
Bethlehem, PA 18015
Phone (484) 526-2460

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

215 N Best Ave
Walnutport, PA 18088
Phone (610) 760-7044

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8jbgxuNWdtuelGLFHIXdkqcQh-JLjFrK/

Organizations & group practices 10

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": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1881679983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041326",
            "telephone_number": "610-434-7000",
            "fax_number": "610-434-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041326",
            "telephone_number": "610-434-7000",
            "fax_number": "610-434-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "RAYMOND",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002989L",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC002989L",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC002989L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012410900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.