Individual provider Active NPI

Frederick Partington Wedel, D.O.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1902860851
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1636 Issued in AZ
Practice address
3978 N Campbell Ave
Tucson, AZ 85719-1460
Phone
(520) 325-3978
NPI assigned
Apr 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1636 AZ Primary

Addresses

Primary practice location

3978 N Campbell Ave
Tucson, AZ 85719-1460

Mailing address

311 E Hilltop PL
Tucson, AZ 85704-5826
Phone (520) 325-3978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051014000024 AZ Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Hospice/Palliative Care 9830114297 Reassigns benefits to 1 organization
Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care, Osteopathic Manipulative Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Medical PartnersGroup PAC ID 0749560647, 10 clinicians

Practice addresses (Care Compare)

3978 N Campbell Ave
Tucson, AZ 85719-1460
Phone (520) 325-3978

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1636AZMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Medical Partners Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Catalina Hospice PLLC Family Medicine PastSince Sep 20, 2020 Accepting new patients

Locations

1700 E River Rd
Unit 65177
Tucson, AZ 85728
Phone (520) 635-9103

3978 N Campbell Ave
Tucson, AZ 85719
Phone (520) 325-3978

Interoperability endpoints

  • Direct secure messaging: frederick.wedel.1@25270.direct.athenahealth.com

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 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": "1145059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902860851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E HILLTOP PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045826",
            "telephone_number": "520-325-3978",
            "fax_number": "520-325-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3978 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191460",
            "telephone_number": "520-325-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDEL",
        "first_name": "FREDERICK",
        "middle_name": "PARTINGTON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.