DR. JAKE FRIES DO
NPI 1104400522
in Indianapolis, IN
NPI Status: Active since May 11, 2021
Contact Information
8450 NORTHWEST BLVD
INDIANAPOLIS, IN
ZIP 46278
Phone: (317) 802-2000
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- PECOS Enrolled
About JAKE FRIES
This page provides the complete NPI Profile along with additional information for Jake Fries, a primary care provider established in Indianapolis, Indiana with a medical specialization in Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1104400522 assigned on May 2021. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1104400522
- Provider Name
- DR. JAKE FRIES DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278
- Location Phone
- (317) 802-2000
- Mailing Address
- 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278
- Mailing Phone
- (317) 802-2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-11-2021
- Last Update Date
- 07-29-2025
- Code Navigator
A primary care provider (PCP) like Jake Fries sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 2390 W Congress St
Lafayette, LA 70506
(337) 261-6000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Sports Medicine
- Taxonomy Code
- 207QS0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 346505
- License State
- LA
- Taxonomy Description
- A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Medicare Participation & PECOS Enrollment Status
Jake Fries is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. JAKE FRIES DO
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 4 | 0 | 0 | 5 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 8 | 0 | 0 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 8 + 0 + 0 + 5 + 4 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1104400522 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750373916 | JOHN WESLEY KELLER LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2094 |
| 1578565982 | MS. MARJORIE JEAN ALBOHM ATC Individual | Specialist/Technologist (Athletic Trainer) | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2880 |
| 1114919214 | MRS. MEGAN L LAWRANCE MS, LAT, ATC Individual | Specialist/Technologist (Athletic Trainer) | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-3246 |
| 1477545689 | MR. DOUGLAS ALLEN MILLER LAT, ATC, CSCS, OTC Individual | Specialist/Technologist (Athletic Trainer) | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
| 1528031440 | BETSY FAYE HALWES MS, ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2019 |
| 1467426098 | MS. MELANIE R WATTS ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2853 |
| 1316997133 | MISS NINA ANN WHALEN NP Individual | Nurse Practitioner | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
| 1518917145 | MRS. DIANNE REED CNS Individual | Clinical Nurse Specialist | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
| 1134179690 | DEBORAH ROBINSON PA Individual | Physician Assistant | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
| 1568415941 | ROBERT GREGORI MD Individual | Physical Medicine & Rehabilitation | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
| 1811942626 | MARK R STEVENS MD Individual | Orthopaedic Surgery | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
| 1235167271 | AMY L BOSWELL RN Individual | Registered Nurse | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
| 1427086305 | CHRISTINE E MORRIS RN Individual | Registered Nurse | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
| 1518998749 | ALICE M WATTS LPN Individual | Licensed Practical Nurse | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
| 1013949742 | KATHY S WILLIAMS CRNFA Individual | Registered Nurse (Registered Nurse First Assistant) | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
| 1952324741 | MR. JASON JOHN SIMALA ATC Individual | Specialist/Technologist (Athletic Trainer) | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2074 |
| 1023108768 | JASON G CARTER MD Individual | Anesthesiology | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
| 1851425664 | KIMBERLY ANN FITZPATRICK ATC Individual | Specialist/Technologist (Athletic Trainer) | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2851 |
| 1932338902 | ANGELA R BAUER RN Individual | Registered Nurse | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
| 1356662597 | MATTHEW JAMES YENTES CST Individual | Specialist/Technologist, Other (Surgical Assistant) | 8450 NORTHWEST BLVD INDIANAPOLIS, IN 46278 (317) 802-2000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104400522, enumerated in the NPI registry as an "individual" on May 11, 2021
The provider is located at 8450 Northwest Blvd Indianapolis, In 46278 and the phone number is (317) 802-2000
The provider's speciality is Family Medicine with taxonomy code with a focus in Sports Medicine
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 11, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.