Active NPI
Andrew Samuel Fredericks, M.D.
- Critical Care Medicine (Anesthesiology) Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- Q7370
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 18
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
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
- Medical City Dallas Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap US 14, PA | Current | Accepting new patients | |
| Upson Medical Associates LLC | Current | Accepting new patients | |
| Texas Physician Resources, LLP | Emergency Medicine | Current | Accepting new patients |
| Shannon Clinic | Current | Accepting new patients | |
| Dallas Pulmonary & Critical Care PA | Critical Care Medicine | Current | 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1235402728
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
AL, AR, FL, GA, IN, KY, ME, MO, MT, NC, NM, NY, OH, OK, SC, VA
-
- Family Medicine Physician
- San Angelo, TX
- NPI 1770587149
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1639413289
-
- Emergency Care Clinic/Center
- Rockport, TX
- NPI 1548700990
-
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
- Community/Retail Pharmacy
- DFW Airport, TX
- NPI 1497271589
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1023180502
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
-
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.