Individual provider Active NPI

Ross Frederick

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1992232268
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A176005 Issued in CA
Practice address
757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone
(310) 825-9111
NPI assigned
May 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R76387 AZ
Diagnostic Radiology Physician 2085R0202X A176005 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Los Angeles, CA 90095-8358

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-5011

Other practice location 2

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone (480) 342-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rfrederick388087@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240326001246 TX Practitioner - Diagnostic Radiology 1153670179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

4515 Seton Ctr Pkwy
Suite 105
Austin, TX 78759-5268
Phone (713) 461-3578

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176005CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2022 Accepting new patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jan 18, 2023 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2022 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 26)

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

2120 N Mays St
Ste 220
Round Rock, TX 78664
Phone (512) 238-7195

1348 N State Highway 123
Ste B
San Marcos, TX 78666
Phone (512) 392-1831

Interoperability endpoints

  • Direct secure messaging: rfrederick388087@ehrdirect.mayoclinicmsg.org

Organizations & group practices 7

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 5

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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1992232268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-825-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 E Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85008",
            "country_code": "US",
            "telephone_number": "602-344-5011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5777 E Mayo Blvd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850544502",
            "country_code": "US",
            "telephone_number": "480-342-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "ROSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "R76387",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A176005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfrederick388087@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "5777 E Mayo Blvd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850544502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.