DR. JAKE FRIES DO
NPI 1104400522
Family Medicine - Sports Medicine in Indianapolis, IN

Q: What is Jake Fries's NPI number?

The NPI number for Jake Fries is 1104400522. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Q: What is Jake Fries's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Jake Fries was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2021PECOS EnrolledAccepts Medicare Assignment

8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278(317) 802-2000 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2022, May 11, 2021 (2 updates tracked since 2021).

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About Dr. Jake Fries Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAKE FRIES DO (NPI 1104400522) is an individual sports medicine provider in Indianapolis, Indiana, licensed in Louisiana (346505) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lafayette, and is a graduate of Marian University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1104400522

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. JAKE FRIESCredential: DO

Location Address8450 NORTHWEST BLVDIndianapolis, IN 46278-1381

Mailing Address8450 Northwest BlvdIndianapolis, IN 46278-1381 · (317) 802-2000

Phone(317) 802-2000

Sole ProprietorNo

Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2021

Enumeration DateMay 11, 2021

Last NPPES UpdateAugust 28, 20252 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1104400522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in LA · 346505

Definition

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.

Also ListedHospitalistTaxonomy 208M00000X · License 02007367A (IN)

8450 NORTHWEST BLVD, Indianapolis, IN 46278

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Secondary Practice Location 1

Location 12390 W Congress StLafayette, LA 70506-4205 · Phone (337) 261-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jake Fries Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092106252

PECOS Enrollment IDI20250930001499

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46278 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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