Active NPI
Jeffrey L Frederich, M.D.
- Family Medicine Physician
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43994-A
- Practice address
- 120 Pershing Way
Paducah, KY 42001-8914 - Phone
- (270) 816-7526
- Fax
- (270) 908-8322
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 43994 | KY | |
| Family Medicine Physician | 207Q00000X | 43994-A | KY | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 43994 | KY | |
| Emergency Medicine Physician | 207P00000X | 43994 | KY |
Addresses
Primary practice location
120 Pershing Way
Paducah, KY 42001-8914
Mailing address
3805 Still Meadow LN
Lexington, KY 40509-2951
Phone (270) 816-7526
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100109070 | Medicaid | KY | |
| 43994 | Other | KY | KENTUCKY MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100415000751 | KY | Practitioner - Family Practice | 3779610167 | Reassigns benefits to 6 organizations |
| I20180510001213 | IL | Practitioner - Emergency Medicine | 3779610167 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43994-A | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Post Acute Care Physicians of the East, PA | Family Medicine | Current | Accepting new patients |
| Statera Health Care, LLC | Emergency Medicine | Current | Accepting new patients |
| Concord Company of Tennessee PLLC | Emergency Medicine | Current | Accepting new patients |
| Trigg County Hospital, Inc | Emergency Medicine | Current | Accepting new patients |
| Integritas Emergency Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Trigg County Hospital, Inc | Family Medicine | Current | Accepting new patients |
| Marshall Emergency Services Associates, PLLC | Emergency Medicine | Past | Accepting new patients |
| Elite Emergency Services of Kentucky, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146
28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680
723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421
254 Main St
Cadiz, KY 42211
Phone (270) 522-3215
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
309 11th St
Carrollton, KY 41008
Phone (502) 732-3241
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115
910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
10200 Forest Green Blvd
Ste 112
Louisville, KY 40223
Phone (502) 214-5343
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
1501 S Dixie St
Park, KY 42749
Phone (270) 745-1255
850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051
Interoperability endpoints
- jfrederich@yourcarecommunity.org
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Miramar, FL
- NPI 1063848968
Family Medicine, KY
-
- Emergency Medicine Physician
- Leitchfield, KY
- NPI 1649743667
Emergency Medicine, KY
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
Emergency Medicine, KY
-
- Emergency Medicine Physician
- Carbondale, IL
- NPI 1790128817
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Harrisburg, IL
- NPI 1043874449
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
KY
-
- Emergency Medicine Physician
- Princeton, KY
- NPI 1285909671
Emergency Medicine
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
Emergency Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pineville, KY
- NPI 1285292219
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Vohra Post Acute Care Physicians of the East PA
Practice addresses (Care Compare)
20 County Barn Rd
Booneville, KY 41314-6500
Phone (606) 593-6302
260 S Mayo TRL
Pikeville, KY 41501-1520
Phone (606) 437-7327
700 Mason Headley Rd
Lexington, KY 40504-2326
Phone (859) 276-1083
Hospital & facility affiliations
- Pineville Community Health Center, Inc
- Kentucky River Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 153 |
| Removal of skin lesions | 24 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1508882010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 STILL MEADOW LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092951",
"telephone_number": "270-816-7526",
"fax_number": "270-908-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PERSHING WAY",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420018914",
"telephone_number": "270-816-7526",
"fax_number": "270-908-8322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICH",
"first_name": "JEFFREY",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "KY",
"license": "43994",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "43994-A",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "KY",
"license": "43994",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "43994",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100109070",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY MEDICAL LICENSE",
"identifier": "43994",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.