NPIMap

Individual provider Active NPI

Elliot Stephen Freed, D.O.

  • Family Medicine Physician
  • Blacksburg, VA
National Provider Identifier
1902192750
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116023931 Issued in VA
Practice address
3700 S Main St Ste a
Blacksburg, VA 24060-7017
Phone
(540) 443-7180
NPI assigned
Jun 21, 2011
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116023931 VA Primary

Addresses

Primary practice location

3700 S Main St Ste a
Blacksburg, VA 24060-7017

Mailing address

509 Sunridge Dr Apt E
Blacksburg, VA 24060-3281
Phone (443) 722-7229

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ELLIOT.FREED@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131231001982 VA Practitioner - Family PracticePractitioner - Emergency Medicine 5991954109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis Gale Physicians LLCGroup PAC ID 6507886231, 191 clinicians

Practice addresses (Care Compare)

133 Bostic LN
Pembroke, VA 24136-3678
Phone (540) 808-8913

1645 N Main St
Blacksburg, VA 24060-2554
Phone (540) 808-8913

1802 Braeburn Dr
Salem, VA 24153-7357

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.79 of 100Reported as individual
Quality
87.18
Promoting interoperability
100
Improvement activities
40
Cost
72.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis Gale Physicians LLC CurrentSince Jul 20, 2019 Accepting new patients
Academic Primary Care Associates Family Medicine Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1645 N Main St
Blacksburg, VA 24060
Phone (540) 552-1246

3700 S Main St
Ste A
Blacksburg, VA 24060
Phone (540) 443-7180

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: elliot.freed.1@27404.direct.athenahealth.com
  • Direct secure messaging: elliot.freed@hca6.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/26460/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 7

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1902192750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SUNRIDGE DR APT E",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603281",
            "telephone_number": "443-722-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST STE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-443-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREED",
        "first_name": "ELLIOT",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116023931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ELLIOT.FREED@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3700 S Main St Ste A",
            "city": "Blacksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240607017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.