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KATHERINE JANE FRY MD
NPI 1639498348
Pediatrics in Palo Alto, CA

Active since May 19, 2010PECOS Enrolled
795 EL CAMINO REAL, PALO ALTO, CA 94301(650) 321-4121 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2024, Apr 15, 2024, Feb 16, 2021 and 1 more (4 updates tracked since 2020).

About Katherine Jane Fry Md NPPES

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

KATHERINE JANE FRY MD (NPI 1639498348) is an individual pediatrics provider in Palo Alto, California, licensed in California (A138735) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639498348
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATHERINE JANE FRYCredential: MD
Location Address795 EL CAMINO REALPalo Alto, CA 94301-2302
Mailing Address795 El Camino Real Fl 1Palo Alto, CA 94301-2302 · (650) 853-2992
Phone(650) 321-4121
Sole ProprietorNo
Enumeration DateMay 19, 2010
Last NPPES UpdateApril 23, 20244 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1639498348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · A138735✔ Licensed in NY · 271836
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License A138735 (CA)
795 EL CAMINO REAL, Palo Alto, CA 94301
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1725 Welch RdPalo Alto, CA 94304-1601 · Phone (650) 497-8000
Location 2325 Distel CirLos Altos, CA 94022-1408 · Phone (650) 853-2992

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Jane Fry Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Fry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
Same address
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1013950807 (650) 321-4121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94301 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

DR. SHIRA BETH LIPTON M.D.
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2982
DR. KATHERINE A KWIATKOWSKI MD
Psychiatry & Neurology (Psychiatry)
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2904
MS. HEATHER HUGHES ROSE PT
Physical Therapist
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (707) 280-2417
CRYSTAL TSAI MS, RD
Dietitian, Registered
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2961
RUTH ROTHMAN MD
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-4865
WINONA TAN M.D.
Obstetrics & Gynecology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2917
SHERRY HUANG MD
Family Medicine
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2984
DR. JULIA MCKENZIE GABHART M.D.
Pediatrics
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 321-4121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Fry's NPI number?

The NPI number for Katherine Fry is 1639498348. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Where is Katherine Fry located?

Katherine Fry practices at 795 El Camino Real, Palo Alto, CA 94301. The listed phone number is (650) 321-4121.

What is Katherine Fry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Katherine Fry enrolled in Medicare?

Yes. Katherine Fry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Fry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Fry reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Fry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Fry was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.