Michelle Fredricks, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K0299 Issued in TX

Practice address

910 N Highway 146 Frontage
Baytown, TX 77520-3947

Phone

(281) 837-7571

Fax

(281) 425-3992

NPI assigned

Jun 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greater Texas Sports Medicine LLC

  • Physical Therapist
  • Houston, TX
  • NPI 1093489049
  Medicare reassignment NPD
• Aerio Rehab Services Inc

  • Physical Therapist
  • Baytown, TX
  • NPI 1760714265
  NPD (past)
• Baytown Urgent Care

  • Urgent Care Clinic/Center
  • Baytown, TX
  • NPI 1013938133
  NPD (past)
• Huffman Rehab PLLC

  • Physical Therapist
  • Celina, TX
  • NPI 1992006324
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1912909250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213947",
            "telephone_number": "281-425-3800",
            "fax_number": "281-425-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N HIGHWAY 146 FRONTAGE",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775203947",
            "telephone_number": "281-837-7571",
            "fax_number": "281-425-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICKS",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127646103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fpacp Cedar Bayou LLC
• Carley Ann Fraley
• Mark E Franklin, M.D.
• Bobbie Jeree Franta, LCDC
• Brenda Joyce Frederick
• Freedom Enterprise Consulting, LLC Dba Hands of Grace Academy
• Famious French
• Patricia Ann Frey, M.D.
• Frontier Dental Care PC
• Victoria Brianna Fuentes

• Family Medicine Physician in Baytown, TX
• Providers in Baytown, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.

Verify at the official NPI Registry.