Active NPI
Melanie C. Frederick, MD
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1720062235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T3082
- Practice address
- 11851 SE Loop 410
San Antonio, TX 78221-4214 - Phone
- (210) 465-9592
- Fax
- (210) 479-2010
- NPI assigned
- Nov 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | T3082 | TX | Primary |
Addresses
Primary practice location
11851 SE Loop 410
San Antonio, TX 78221-4214
Mailing address
3503 Paesanos Pkwy Ste 101
San Antonio, TX 78231-1225
Phone (210) 492-8922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260128003149 | TX | Order and Referring Only - Family Practice | 5890876338 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17823 | LA | MD | Clinical Social Worker |
| T3082 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health by Design Medical Group | Past | Accepting new patients |
Interoperability endpoints
- melanie.frederick@546238333255684.direct.elationemr.com
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- San Antonio, TX
- NPI 1487838611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1720062235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3503 PAESANOS PKWY STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782311225",
"telephone_number": "210-492-8922",
"fax_number": "210-479-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11851 SE LOOP 410",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782214214",
"telephone_number": "210-465-9592",
"fax_number": "210-479-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "MELANIE",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T3082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.