Active NPI
Debralee B. Frederick, MD
- Hospitalist Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 078301
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085010500 | Medicaid | DC | |
| 124113300 | Medicaid | MD |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 078301 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hibiscus Medical PLLC | Internal Medicine | Current | Accepting new patients |
| Medical Faculty Associates, Inc | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Washington, DC
- NPI 1154948362
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.