Organization Active NPI

Frederick Health Medical Group LLC

Doing business as Frederick Health Medical Group

  • Family Medicine Physician
  • Frederick, MD
National Provider Identifier
1619258225
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FREDERICK HEALTH MEDICAL GROUP LLC
Doing business as
Frederick Health Medical Group
Practice address
1562 Opossumtown Pike
Frederick, MD 21702-4337
Phone
(240) 215-6310
NPI assigned
Sep 9, 2011
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FREDERICK HEALTH MEDICAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Jenny Fitzpatrick
Title
Director, Professional Fees Revenue
Phone
(240) 439-8774

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Hematology & Oncology Physician 207RH0003X
Neurological Surgery Physician 207T00000X
Orthopaedic Surgery Physician 207X00000X
Otolaryngology Physician 207Y00000X
Body Imaging Physician 2085B0100X
Diagnostic Radiology Physician 2085R0202X
Surgery Physician 208600000X
Urology Physician 208800000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X

Addresses

Primary practice location

1562 Opossumtown Pike
Frederick, MD 21702-4337

Mailing address

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3337

Other practice location 1

194 Thomas Johnson Dr
Frederick, MD 21702-4679
Phone (240) 215-6310

Other practice location 2

504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 215-6310

Other practice location 3

3000D Ventrie Ct
Myersville, MD 21773-7817
Phone (240) 215-6310

Other practice location 4

7211 Bank Ct Ste 240
Frederick, MD 21703-8482
Phone (240) 215-6310

Other practice location 5

7211 Bank Ct Ste 230
Frederick, MD 21703-8482
Phone (240) 215-6310

Other practice location 6

501 W 7th St Ste 104
Frederick, MD 21701-5096
Phone (240) 215-6310

Other practice location 7

75 Thomas Johnson Dr Ste A
Frederick, MD 21702-4895
Phone (240) 215-6310

Other practice location 8

1562 Opossumtown Pike Ste 302
Frederick, MD 21702-4930
Phone (240) 215-6310

Other practice location 9

3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310

Other practice location 10

400 W 7th St
Frederick, MD 21701-4506
Phone (240) 215-6310

Other practice location 11

15 E Frederick St
Walkersville, MD 21793-8234
Phone (240) 215-6310

Other practice location 12

16403 Old Emmitsburg Rd
Emmitsburg, MD 21727-8929
Phone (240) 215-6310

Other practice location 13

141 Thomas Johnson Dr Ste 200
Frederick, MD 21702-4508
Phone (301) 846-0100

Other practice location 14

1194 Dutchmans Creek Dr Unit 3
Brunswick, MD 21716-9787
Phone (240) 215-6310

Other practice location 15

1 Frederick Health Way
Frederick, MD 21701-9435
Phone (240) 215-6310

Other names 1

  • Frederick Health Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130820000555 MD Part B Supplier - Clinic/Group Practice 9931341096 Receives reassigned benefits from 296 practitioners
41 other NPIs on this enrollment
Practice locations: Frederick, MD; Ijamsville, MD; Mount Airy, MD; Myersville, MD; Walkersville, MD; Adamstown, MD; Brunswick, MD; Emmitsburg, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

National Provider Directory

National Provider Directory
Part of
Frederick Health Medical Group LLC

Locations

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

1562 Opossumtown Pike
Ste 102
Frederick, MD 21702
Phone (301) 662-8477

194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370

194 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (240) 379-6636

3430 Worthington Blvd
Ste A
Frederick, MD 21704

501 W 7th St
Ste 1A
Frederick, MD 21701
Phone (301) 662-8477

75 Thomas Johnson Dr
Ste A
Frederick, MD 21702
Phone (301) 695-3100

504 E Ridgeville Blvd
Ste 120
Mount Airy, MD 21771
Phone (240) 215-6370

3000 Ventrie Ct
Myersville, MD 21773

3000 Ventrie Ct
#D
Myersville, MD 21773

Practitioners & affiliated clinicians

Practitioners 300

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 300

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1619258225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-566-3337",
            "fax_number": "240-566-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 OPOSSUMTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024337",
            "telephone_number": "240-215-6310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024679",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 E Ridgeville Blvd",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "MD",
            "postal_code": "217715942",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000D Ventrie Ct",
            "address_purpose": "LOCATION",
            "city": "Myersville",
            "state": "MD",
            "postal_code": "217737817",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 Bank Ct Ste 240",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217038482",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 Bank Ct Ste 230",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217038482",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W 7th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217015096",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Thomas Johnson Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024895",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1562 Opossumtown Pike Ste 302",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024930",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Worthington Blvd",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217047017",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014506",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 E Frederick St",
            "address_purpose": "LOCATION",
            "city": "Walkersville",
            "state": "MD",
            "postal_code": "217938234",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16403 Old Emmitsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Emmitsburg",
            "state": "MD",
            "postal_code": "217278929",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Thomas Johnson Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024508",
            "country_code": "US",
            "telephone_number": "301-846-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1194 Dutchmans Creek Dr Unit 3",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "MD",
            "postal_code": "217169787",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Frederick Health Way",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217019435",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREDERICK HEALTH MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK HEALTH MEDICAL GROUP LLC",
        "enumeration_date": "2011-09-09",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "DIRECTOR, PROFESSIONAL FEES REVENUE",
        "authorized_official_telephone_number": "240-439-8774"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.