Individual provider Active NPI

Melanie C. Frederick, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1720062235
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T3082 Issued in TX
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

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128003149 TX Order and Referring Only - Family PracticePractitioner - Family Practice 5890876338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17823LAMDClinical Social Worker
T3082TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health by Design Medical Group PastSince Nov 3, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.