Individual provider Active NPI

Paul Adam Frederick, M.D.

  • Ophthalmology Physician
  • Huntsville, AL
National Provider Identifier
1366735623
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.35139 Issued in AL
Practice address
401 Meridian St N Ste 200
Huntsville, AL 35801-4719
Phone
(256) 705-3937
Fax
(256) 533-3213
NPI assigned
May 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R2751 KY
Ophthalmology Physician 207W00000X MD.35139 AL Primary

Addresses

Primary practice location

401 Meridian St N Ste 200
Huntsville, AL 35801-4719

Mailing address

401 Meridian St N Ste 200
Huntsville, AL 35801-4719
Phone (256) 705-3937

Other practice location 1

800 Rose St # C246
Lexington, KY 40536-0001
Phone (859) 323-6162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160712000432 AL Practitioner - Ophthalmology 2466764147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center Surgeons and Assoc LLCGroup PAC ID 5193764975, 6 clinicians

Practice addresses (Care Compare)

401 Meridian St N
Suite 200
Huntsville, AL 35801-4719
Phone (256) 705-3937

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Merit-based Incentive Payment System (MIPS)

Final score
93.42 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery674

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.35139ALMDOphthalmology Physician
R2751KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center Surgeons & Assoc LLC Ophthalmology CurrentSince Aug 9, 2016 Accepting new patients
Ophthalmic Surgical Partners, LLC CurrentSince Oct 21, 2025 Accepting new patients
Retina Specialists of North Alabama LLC Ophthalmology PastSince Aug 9, 2016 Accepting new patients

Locations

401 Meridian St N
Ste 200
Huntsville, AL 35801
Phone (256) 705-3937

1041 Balch Rd
Ste 110
Madison, AL 35758
Phone (256) 539-8851

Interoperability endpoints

  • Direct secure messaging: pfrederick@tecsal.intellechartdirect.net

Organizations & group practices 3

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

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": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1366735623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MERIDIAN ST N STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014719",
            "telephone_number": "256-705-3937",
            "fax_number": "256-533-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MERIDIAN ST N STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014719",
            "telephone_number": "256-705-3937",
            "fax_number": "256-533-3213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St # C246",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-323-6162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "PAUL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-19",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "R2751",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.35139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.