Rida Anis Frayha


Address: 3640 Fords Lane E, Baltimore, MD 21215-2946
Phone: 4103582741

Rida Anis Frayha (NPI# 1750328308, PAC ID# 2163614876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1750328308
PAC ID by PECOS 2163614876
Professional Enrollment ID I20101012001231
Full Name Rida Anis Frayha
Address 3640 Fords Lane E
Baltimore
MD 21215-2946
Phone Number 4103582741
Gender M
Graduation Year 1969
Primary Specialty INTERNAL MEDICINE
Secondary Specialties RHEUMATOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210034 MEDSTAR HARBOR HOSPITAL
210040 NORTHWEST HOSPITAL CENTER
210012 SINAI HOSPITAL OF BALTIMORE

Other Locations

Address Phone Organization
3640 Fords Lane E, Baltimore, MD 21215-2946 4103582741

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 3640 FORDS LANE E
City BALTIMORE
State MD
Zip 21215-2946

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Competitor

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City BALTIMORE
Zip Code 21215
Specialty INTERNAL MEDICINE
City + Specialty BALTIMORE + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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