Individual provider Active NPI

Jason D Fragin, D.O.

  • Cardiovascular Disease Physician
  • State College, PA
National Provider Identifier
1972618262
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OSO10881L Issued in PA
Practice address
303 Benner Pike
State College, PA 16801-7304
Phone
(814) 272-5660
Fax
(814) 272-5675
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OSO10881L PA Primary

Addresses

Primary practice location

303 Benner Pike
State College, PA 16801-7304

Mailing address

PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 2

32 Colonnade Way
State College, PA 16803-2309
Phone (814) 272-4445

Other practice location 3

1850 E Park Ave Ste 207
State College, PA 16803-6706
Phone (814) 235-2480

Other practice location 4

476 Rolling Ridge Dr
State College, PA 16801-7639
Phone (814) 689-4980

Other identifiers 1

IdentifierTypeStateIssuer
1013448870001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050414000783 PA Practitioner - Cardiovascular Disease (Cardiology) 6103871264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Milton S Hershey Medical Center Physicians GroupGroup PAC ID 3870405483, 1,606 clinicians

Practice addresses (Care Compare)

143 Hospital Dr
State College, PA 16803-3200
Phone (814) 235-2480

143 Hospital Dr
Suite 112
State College, PA 16803-6705
Phone (814) 865-3566

3025 Market St
Camp Hill, PA 17011-4518

303 Benner Pike
State College, PA 16801-7304
Phone (814) 272-4400

32 Colonnade Way
State College, PA 16803-2309
Phone (814) 272-4445

476 Rolling Ridge Dr
Suite 101
State College, PA 16801-7639
Phone (814) 689-4980

500 Universidy Dr
Hershey, PA 17033-2360

Hospital & facility affiliations

  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Mount Nittany Medical Center Hospital, State College, PA, CCN 390268
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Geisinger-Lewistown Hospital Hospital, Lewistown, PA, CCN 390048

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OSO10881LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Cardiovascular Disease CurrentSince Jan 19, 2011 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jan 19, 2011 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

303 Benner Pike
State College, PA 16801
Phone (814) 272-4400

476 Rolling Ridge Dr
State College, PA 16801
Phone (814) 689-4980

32 Colonnade Way
State College, PA 16803
Phone (717) 531-5164

303 Benner Pike
Ste 1
State College, PA 16801
Phone (814) 272-5660

1850 E Park Ave
Ste 207
State College, PA 16803
Phone (814) 235-2480

Organizations & group practices 4

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 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1972618262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "address_2": "MC A410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BENNER PIKE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017304",
            "telephone_number": "814-272-5660",
            "fax_number": "814-272-5675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Colonnade Way",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032309",
            "country_code": "US",
            "telephone_number": "814-272-4445",
            "fax_number": "814-272-4450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 E Park Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036706",
            "country_code": "US",
            "telephone_number": "814-235-2480",
            "fax_number": "814-235-2482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "476 Rolling Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168017639",
            "country_code": "US",
            "telephone_number": "814-689-4980",
            "fax_number": "814-689-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAGIN",
        "first_name": "JASON",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OSO10881L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013448870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.