Individual provider Active NPI

Debralee B. Frederick, MD

  • Hospitalist Physician
  • Washington, DC
National Provider Identifier
1093034944
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
078301 Issued in GA
Practice address
430 Galloway St NE Ste a
Washington, DC 20011-6312
Phone
(202) 350-1546
Fax
(202) 983-5497
NPI assigned
May 18, 2010
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 078301 GA Primary
Internal Medicine Physician 207R00000X MD042272 DC

Addresses

Primary practice location

430 Galloway St NE Ste a
Washington, DC 20011-6312

Mailing address

430 Galloway St NE Ste a
Washington, DC 20011-6312
Phone (202) 350-1546

Other identifiers 2

IdentifierTypeStateIssuer
085010500MedicaidDC
124113300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141024000539 DC Practitioner - Internal MedicinePractitioner - Hospitalist 9335360957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

430 Galloway St NE
Suite a
Washington, DC 20011-6312
Phone (202) 350-1546

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
078301GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hibiscus Medical PLLC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Medical Faculty Associates, Inc Internal Medicine CurrentSince Nov 22, 2019 Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

430 Galloway St NE
Ste A
Washington, DC 20011
Phone (202) 350-1546

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

Interoperability endpoints

  • Direct secure messaging: debralee.frederick@347459269492740.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1093034944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 GALLOWAY ST NE STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116312",
            "telephone_number": "202-350-1546",
            "fax_number": "202-983-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 GALLOWAY ST NE STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116312",
            "telephone_number": "202-350-1546",
            "fax_number": "202-983-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "DEBRALEE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "078301",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD042272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085010500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124113300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.