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DR. KIRT FREDERICKSON M.D. NPI 1144218819


NPI Information

NPI: 1144218819
Provider Name: DR. KIRT FREDERICKSON, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
24 HOSPITAL AVE
DANBURY, CT
ZIP 06810
Phone: (203) 739-7532
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DR. Kirt Frederickson, M.D. is a diagnostic radiology radiology in Danbury, CT with 28 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Kirt Frederickson, M.D. NPI is 1144218819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24 HOSPITAL AVE
DANBURY, CT
ZIP 06810-099
Phone: (203) 739-7532
Fax: (203) 796-7667

The NPI 1144218819 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan chest (HCPCS:71250)
  • Ct scan head or brain (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • X-ray of knee, 4 or more views (HCPCS:73564)

The enumeration date for this NPI number is 10/7/2005 and was last updated on 8/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology040390CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300003328MEDICARE PINCONNECTICUT
2P00051457MEDICARE PINCONNECTICUT
3300003622MEDICARE PINCONNECTICUT
4P00476062MEDICARE PINCONNECTICUT
5H44873MEDICARE UPIN
6617S11MEDICARE PINNEW YORK
7P00093976MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.