David Paul Fredrickson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32734 Issued in IA

Practice address

405 Monroe St
Pella, IA 50219-1189

Phone

(641) 628-3832

Fax

(641) 628-8894

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

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

Merit-based Incentive Payment System (MIPS)

Final score

95.71 of 100Reported as apm

Quality

89.85

Promoting interoperability

94.05

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dfredrickson957144@direct.unitypoint.org

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.

• Mahaska County Hospital

  • Critical Access Hospital
  • Oskaloosa, IA
  • NPI 1356320659
  Medicare reassignment NPD
• Mahaska County Hospital

  • Family Medicine Physician
  • Oskaloosa, IA
  • NPI 1407869852
  Medicare reassignment NPD
• Emergency Services of Iowa LLC

  • Emergency Medicine Physician
  • Ottumwa, IA
  • NPI 1477017663
  Medicare reassignment
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1891765913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MONROE ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191189",
            "telephone_number": "641-628-3832",
            "fax_number": "641-628-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MONROE ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191189",
            "telephone_number": "641-628-3832",
            "fax_number": "641-628-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKSON",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "32734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2184218",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184218",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Lynn Finkstein, D.C
• Karen Sue Fitzsimmons
• Paula Renae Fontinel, P.T.
• Shawna Rae Fopma, PHYSICAL THERAPIST
• Joseph Phillip Formaro
• Shelby Fuhs
• Kimberly Sue Funston, P.A.-C
• Victoria Fyfe
• Maria Lynn Fynaardt, LMSW
• Kelly Gibson, MPT

• Family Medicine Physician in Pella, IA
• Providers in Pella, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.