Individual provider Active NPI

Andrew Samuel Fredericks, M.D.

  • Critical Care Medicine (Anesthesiology) Physician
  • Dallas, TX
National Provider Identifier
1972913002
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
Q7370 Issued in TX
Practice address
5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708
Phone
(214) 590-8058
NPI assigned
Apr 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q7370 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2023-00189 NC
Critical Care Medicine (Anesthesiology) Physician 207LC0200X Q7370 TX Primary

Addresses

Primary practice location

5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708

Mailing address

221 West Colorado Blvd
Pavilion 2, Suite 525
Dallas, TX 75208
Phone (469) 379-2915

Other practice location 1

221 West Colorado Blvd
Pavilion 2, Suite 525
Dallas, TX 75208
Phone (469) 379-2915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, VA, NM, AR, MO, MT, NY, ME, OH, KY, KS, NC, SC, GA, OK, AL, FL18 enrollments
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 18

Enrollment IDStateProvider typePAC IDDetails
I20160804000444 TX Practitioner - Critical Care (Intensivists)Practitioner - AnesthesiologyPractitioner - Emergency Medicine 1850685439 Reassigns benefits to 5 organizations
I20230816003716 IN Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 1850685439 Reassigns benefits to 1 organization
I20241216002051 VA Practitioner - Pulmonary Disease 1850685439 Reassigns benefits to 1 organization
I20250102000063 NM Practitioner - Pulmonary Disease 1850685439 Reassigns benefits to 1 organization
I20250102000987 AR Practitioner - Pulmonary Disease 1850685439 Reassigns benefits to 1 organization
I20250113002917 MO Practitioner - Emergency Medicine 1850685439 Reassigns benefits to 1 organization
I20250115000838 MT Practitioner - Emergency Medicine 1850685439 Reassigns benefits to 1 organization
I20250115001168 NY Practitioner - Emergency Medicine 1850685439 Reassigns benefits to 1 organization
I20250116000670 ME Practitioner - Emergency Medicine 1850685439 Reassigns benefits to 1 organization
I20250123002890 OH Practitioner - Emergency Medicine 1850685439 Reassigns benefits to 1 organization
I20250124000184 KY Practitioner - Emergency Medicine 1850685439 Reassigns benefits to 1 organization
I20250128003979 KS Practitioner - Pulmonary Disease 1850685439 Reassigns benefits to 1 organization
I20250131002317 NC Practitioner - Pulmonary Disease 1850685439 Reassigns benefits to 1 organization
I20250131002438 SC Practitioner - Pulmonary Disease 1850685439 Reassigns benefits to 1 organization
I20250728000947 GA Practitioner - Pulmonary Disease 1850685439 Reassigns benefits to 1 organization
I20250813003413 OK Practitioner - Pulmonary Disease 1850685439 Reassigns benefits to 1 organization
I20250818000231 AL Practitioner - Pulmonary Disease 1850685439 Reassigns benefits to 1 organization
I20260330000674 FL Practitioner - Internal Medicine 1850685439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Mississippi School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Dallas Pulmonary and Critical Care PAGroup PAC ID 2163679200, 186 clinicians
Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians

Practice addresses (Care Compare)

Indian Land, SC 29707
Phone (972) 449-0540

Oklahoma City, OK 73106
Phone (972) 449-0540

Sulphur Springs, TX 75482
Phone (972) 449-0540

Spring, TX 77382
Phone (972) 449-0540

Shenandoah, TX 77384
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

1000 Medical Ctr Dr
Hardeeville, SC 29927-3446
Phone (972) 449-0540

1140 Lexington Rd
Georgetown, KY 40324-9330
Phone (972) 449-0540

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (972) 449-0540

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (972) 449-0540

1761 Beall Ave
Wooster, OH 44691-2342
Phone (972) 449-0540

188 Kitdare Dr
Delaware, OH 43015-7076
Phone (972) 449-0540

2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540

221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175

25 Hospital Ctr Blvd
Hilton Head, SC 29926-2738
Phone (972) 449-0540

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (972) 449-0540

2550 N Esplanade St
Cuero, TX 77954-4736
Phone (972) 449-0540

262 Leroy George Dr
Clyde, NC 28721-7430
Phone (972) 449-0540

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (972) 449-0540

300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (972) 449-0540

3201 W
Suite 22
Corsicana, TX 75110-2450
Phone (972) 449-0540

3885 Little Bluestem Dr
Owensboro, KY 42303-8302
Phone (972) 449-0540

4 Osprey TRL
Asheville, NC 28806-0152
Phone (972) 449-0540

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (972) 449-0540

405 W Country Club Rd
Roswell, NM 88201-5209
Phone (972) 449-0540

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ap US 14, PA CurrentSince Jan 24, 2025 Accepting new patients
Upson Medical Associates LLC CurrentSince Oct 1, 2025 Accepting new patients
Texas Physician Resources, LLP Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Shannon Clinic CurrentSince Jan 1, 2023 Accepting new patients
Dallas Pulmonary & Critical Care PA Critical Care Medicine CurrentSince Aug 1, 2019 Accepting new patients
C3Erow, LLC Past Accepting new patients
Columbia Medical Center of Plano Subsidiary LP Past Accepting new patients
Fastpass Ucdfw, PLLC Past Accepting new patients

Locations

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1972913002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WEST COLORADO BLVD",
            "address_2": "PAVILION 2, SUITE 525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75208",
            "telephone_number": "469-379-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HARRY HINES BLVD",
            "address_2": "GRADUATE MEDICAL EDUCATION",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357708",
            "telephone_number": "214-590-8058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 West Colorado Blvd",
            "address_2": "Pavilion 2, Suite 525",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75208",
            "country_code": "US",
            "telephone_number": "469-379-2915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICKS",
        "first_name": "ANDREW",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q7370",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2023-00189",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "TX",
            "license": "Q7370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.