DR. WOODSON PETIT-FRERE (MD, PT, DPT) – Interventional Cardiology Physician, NPI 1659419174

DR. WOODSON PETIT-FRERE (MD, PT, DPT) is a healthcare provider. based in Cincinnati, Ohio. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD, PT, DPT. They hold a License No. 036168830 (IL). The NPI Number for DR. WOODSON PETIT-FRERE (MD, PT, DPT) is 1659419174

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. WOODSON PETIT-FRERE (MD, PT, DPT)
NPI
1659419174
Phone
(135) 844-5055
Address
3130 HIGHLAND AVE
Enumeration Date
5 February 2007
Last Update Date
27 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6153225000
Graduation Year
2016 (10 years ago)
PAC ID
8729162300
Group Practice PAC ID
5092023416
Professional Enrollment ID
I20250815003478
Address ID
TN372320028NA1301XDRXX400

Contacts

Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness95
Years active:19State licenses:3Other names

1,508 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OH

Provider Addresses for DR. WOODSON PETIT-FRERE (MD, PT, DPT)

  • 3130 HIGHLAND AVE

    CINCINNATI, OH 452192399

    Phone: (135) 844-5055

    Type: Mailing

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone:

    Fax: (615) 322-5048

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372325165

    Phone: (615) 322-5000

    Type: Location

  • 647 Dunlop Ln Ste 100

    Clarksville, TN 370405165

    Phone: (615) 875-6741

    Type: Location

  • 956 COURT AVE

    STE A138D

    MEMPHIS, TN 381032814

    Phone: (135) 844-5055

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $1,233.

Total Amount is formed as General ($1,233) + Research ($0) + Ownership ($0) = $1,233.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($299).

Total Amount

$1,233

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250815003478ICardiovascular Disease (Cardiology)TNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45219)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092023416View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Pediatric MedicineTN
-TN
-TN
Diagnostic Radiology, Interventional Pain ManagementTN
Certified Registered Nurse Anesthetist (Crna)TN
N E U R O L O G YTN
-TN
Physician AssistantTN
Internal MedicineTN

Reviews

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Frequently asked questions

How do I look up DR. WOODSON PETIT-FRERE (MD, PT, DPT) by NPI?
Use NPI 1659419174 when you need to reference DR. WOODSON PETIT-FRERE (MD, PT, DPT) in forms, claims, or directories.
Is DR. WOODSON PETIT-FRERE (MD, PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. WOODSON PETIT-FRERE (MD, PT, DPT) treat or focus on?
Patients typically see DR. WOODSON PETIT-FRERE (MD, PT, DPT) under the specialty Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. WOODSON PETIT-FRERE (MD, PT, DPT)'s primary listing?
We display Cincinnati, Ohio because that is what the record indicates for DR. WOODSON PETIT-FRERE (MD, PT, DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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