ANDRE FREDIEU (MD) – Neurology Physician, NPI 1578543260

ANDRE FREDIEU (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in INTERVENTIONAL RADIOLOGY, NEUROLOGY. They hold the professional credentials MD. They hold a License No. P5364 (TX). The NPI Number for ANDRE FREDIEU (MD) is 1578543260

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
ANDRE FREDIEU (MD)
NPI
1578543260
Phone
(918) 560-3823
Address
1245 S UTICA AVE
Enumeration Date
19 January 2006
Last Update Date
11 August 2015

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
9182459675
Graduation Year
1998 (28 years ago)
PAC ID
4587550017
Group Practice PAC ID
9436122496
Professional Enrollment ID
I20150807013251
Address ID
OK740634001SA20XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

51 INTERVENTIONAL RADIOLOGY in OK

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Provider Addresses for ANDRE FREDIEU (MD)

  • South Utica Avenue, Kendall Whitter-West, Tulsa, Tulsa County, Oklahoma, 74120, United States

    3RD FLOOR WEST

    TULSA, OK 741044214

    Phone: (918) 560-3823

    Fax: (918) 579-2535

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $743.

Total Amount is formed as General ($743) + Research ($0) + Ownership ($0) = $743.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: EMD Serono, Inc. ($239).

Total Amount

$743

General + Research + Ownership

Payments

17

Total payment records

General Amount

$743

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-08-07

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
I20150807013251INeurologyOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes198115$0
99497Advance care planning, first 30 minutes17199$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes167158$0
99291Critical care, first 30-74 minutes7757$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5438$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

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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: 9436122496View full group profile
NameSpecialtyState
-OK
-MT
Family PracticeOK
-OK
Physician AssistantOK
O B S T E T R I C S/ G Y N E C O L O G YOK
U R O L O G YOK
Orthopedic SurgeryOK
Physician AssistantOK
Family PracticeOK

Reviews

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Frequently asked questions

What is ANDRE FREDIEU (MD)'s NPI number?
ANDRE FREDIEU (MD)'s NPI is 1578543260 — the number used across U.S. healthcare to identify this provider.
Is there an active status for ANDRE FREDIEU (MD)?
For scheduling context, ANDRE FREDIEU (MD) is shown as active in the registry.
What clinical focus is listed for ANDRE FREDIEU (MD)?
At a glance, ANDRE FREDIEU (MD) is tied to Neurology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANDRE FREDIEU (MD)?
Travel planning: use Tulsa, Oklahoma as the reference point for ANDRE FREDIEU (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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