NPIMap

Individual provider Active NPI

Mark R Freije, MD

  • Family Medicine Physician
  • Carmel, IN
National Provider Identifier
1932317849
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01037804A Issued in IN
Practice address
14828 Greyhound CT Ste 100
Carmel, IN 46032-5016
Phone
(317) 582-9224
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 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 01037804A IN Primary

Addresses

Primary practice location

14828 Greyhound CT Ste 100
Carmel, IN 46032-5016

Mailing address

14828 Greyhound CT Ste 100
Carmel, IN 46032-5016

Other identifiers 1

IdentifierTypeStateIssuer
100103420MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mark.freije.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041215000664 IN Practitioner - Family Practice 8325005937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13420 N Meridian St
Carmel, IN 46032-1581

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01037804AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jul 1, 2012 Accepting new patients
St. Vincent Medical Group, Inc. Family Medicine Current Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 1, 2012 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

13400 N Meridian St
Ste 304
Carmel, IN 46032
Phone (317) 582-8350

14828 Greyhound Ct
Ste 100
Carmel, IN 46032
Phone (317) 582-9200

13420 N Meridian St
Ste 240
Carmel, IN 46032
Phone (317) 582-8600

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

1001 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 259-7777

8840 Commerce Park Pl
Ste E
Indianapolis, IN 46268
Phone (317) 583-4420

5629 Lee Rd
Indianapolis, IN 46216
Phone (317) 415-6450

642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811

Interoperability endpoints

  • Direct secure messaging: mark.freije.1@7598.direct.athenahealth.com

Organizations & group practices 5

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 9

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1932317849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14828 GREYHOUND CT STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14828 GREYHOUND CT STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325016",
            "telephone_number": "317-582-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIJE",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01037804A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100103420",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.freije.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "14828 Greyhound Ct Ste 100",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460325016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.