Individual provider Active NPI

Renee Jeanne Freedman, M.D.

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1922112440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME89450 Issued in FL
Practice address
1500 NW 10TH Ave
Suite 205
Boca Raton, FL 33486-1312
Phone
(561) 391-1085
Fax
(561) 391-1449
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

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
Specialist 174400000X ME89450 FL Primary

Addresses

Primary practice location

1500 NW 10TH Ave
Suite 205
Boca Raton, FL 33486-1312

Mailing address

1500 NW 10TH Ave
Suite 205
Boca Raton, FL 33486-1312
Phone (561) 391-1085

Other identifiers 1

IdentifierTypeStateIssuer
48626OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040816000873 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 2961475207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 NW 10TH Ave
Suite 205
Boca Raton, FL 33486-1345
Phone (561) 391-1085

5210 Linton Blvd
Suite 205
Delray Beach, FL 33484-6537
Phone (561) 495-1606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Medical Associates, Inc. Specialist Current Accepting new patients
East Coast Medical Associates, Inc. Specialist CurrentSince Jul 1, 2004 Accepting new patients
East Coast Medical Associates, Inc Specialist CurrentSince Jul 1, 2004 Accepting new patients

Locations

1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085

5210 Linton Blvd
Ste 205
Delray Beach, FL 33484
Phone (561) 495-1606

Interoperability endpoints

  • Direct secure messaging: ecmaendofreedman@205.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.169012

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922112440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE",
            "address_2": "SUITE 205",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861312",
            "telephone_number": "561-391-1085",
            "fax_number": "561-391-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE",
            "address_2": "SUITE 205",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861312",
            "telephone_number": "561-391-1085",
            "fax_number": "561-391-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "RENEE",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME89450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48626",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.