Hibiscus Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HIBISCUS MEDICAL PLLC

Practice address

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

Phone

(202) 350-1546

NPI assigned

Jul 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Debralee B Frederick, MDNPI 1093034944

Title

Owner, Physician

Phone

(347) 228-0719

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debralee B. Frederick, MD

  • Hospitalist Physician
  • Washington, DC
  • NPI 1093034944

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1154948362",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBISCUS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "DEBRALEE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "347-228-0719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124113300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085010500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perrine Heymann, PHD
• Marie Heyrana, MD
• Precious Mazie Heyward-Blanding
• William Andrew Hiatt, MD
• Hibiscus Health Inc
• Kidist Hibistu
• Burnadette Marquita Hibler
• Isabel Hiciano, MD
• Allyson Nicole Hickey
• Emma Rose Hickey

• Internal Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Internal Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.