Kevin D Fradkin, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M4071 Issued in TX

Practice address

11221 Katy Fwy Ste 201
Houston, TX 77079-2105

Phone

(800) 991-6117

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, TX, NY, FL4 enrollments

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 4

Specialty

General Surgery

Education

Indiana University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Srinivas Rao MD PAGroup PAC ID 8325275415, 17 clinicians

Texas Uvc Medical PLLCGroup PAC ID 4385085521, 18 clinicians

Colorado Medical Group PLLCGroup PAC ID 5890091409, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 36)

Interoperability endpoints

• Direct secure messaging: kevin.fradkin@uvvc.eclinicaldirectplus.com

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.

• Srinivas Rao MD PA

  • Surgery Physician
  • Houston, TX
  • NPI 1972941318
  Medicare reassignment Care Compare group NPD
• Texas Uvc Medical PLLC

  • Surgery Physician
  • Fort Worth, TX
  • NPI 1447023528
  Medicare reassignment Care Compare group NPD
• Colorado Medical Group, PLLC

  • Vascular Surgery Physician
  • Fort Collins, CO
  • NPI 1356714638
  Medicare reassignment Care Compare group NPD
• Wazni, PLLC

  • Vascular Surgery Physician
  • Tampa, FL
  • NPI 1114353026

  Specialist

  Medicare reassignment NPD
• Fradkin Surgical Services PLLC

  • Phlebology Physician
  • Southlake, TX
  • NPI 1962248492

  Specialist

  NPD Authorized official
• Luminous Med Spa PLLC

  • Surgery Physician
  • Plano, TX
  • NPI 1821834342
  NPD Authorized official
• Radiant Medspa, PLLC

  • Surgery Physician
  • Flower Mound, TX
  • NPI 1639915291
  NPD Authorized official
• Sameer Syed, MD, PA

  • Pain Medicine (Anesthesiology) Physician
  • Sherman, TX
  • NPI 1568984573
  NPD (past)
• Colorado Medical Group, PLLC

  • Vascular Surgery Physician
  • Englewood, CO
  • NPI 1053928234
  NPD (past)
• Front Range Surgical Services, P.C.

  • Surgery Physician
  • Parker, CO
  • NPI 1124104674
  NPD (past)
• Richard Hodnett MD PC

  • Plastic and Reconstructive Surgery Physician
  • Las Vegas, NV
  • NPI 1093945149
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1972603934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 KATY FWY STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792105",
            "telephone_number": "800-991-6117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Glades Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334317333",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5858 Main St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750334194",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 Matlock Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152529",
            "country_code": "US",
            "telephone_number": "817-795-8346",
            "fax_number": "817-717-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRADKIN",
        "first_name": "KEVIN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "12654",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME178121",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "TX",
            "license": "M4071",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M4071",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M4071",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "44107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Jeffrey Frace, M.D.
• Richard Julian Frachtman, M.D.
• Steven Jay Frachtman, M.D.
• Katie Fracolli, MS, PA-C
• Aaron Fradkin, MD
• Johnathan Fraebel, MD
• Edgar Fragoso, LSA
• Veronica Garcia Fragoso, MD
• Theresa Nichole Fraire, RDN
• Thomas Juan Fraiz, MS, PA-C

• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.