FRED M. HENRETIG M.D. – NPI #1053334862
Pediatrics

A pediatrician who has special qualifications to manage emergencies in infants and children.

FRED HENRETIG is a physician located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1053334862 to FRED HENRETIG on July 25, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0204X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Emergency Medicine

The NPI profile was previously updated about 13 years ago on Apr 19, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRED HENRETIG below.

NPI Profile for
FRED M. HENRETIG

NPI Number
1053334862
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FRED M. HENRETIG
Credentials
M.D.
Primary location
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILA - MEDICAL TOXICOLOGY
PHILADELPHIA, PA 19104-4319
Phone: (215) 590-1944 Fax: (215) 590-4454
Mailing address
100 E PENN SQ
9TH FLOOR
PHILADELPHIA, PA 19107-3323
Phone: (267) 425-9234 Fax: (267) 425-9299
Sole Proprietor
No
Updated
Identifiers

Identifiers for FRED HENRETIG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ3618501
MEDICAIDPA000764267
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0204X
- Pediatrics / Pediatric Emergency Medicine (Primary)
PA MD017526E
2080T0002X
- Pediatrics / Medical Toxicology
PA MD017526E
208000000X
- Pediatrics
PA MD017526E

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.