FREDERICK HEALTH MEDICAL GROUP LLC
NPI 1205590155
Internal Medicine - Hematology in Frederick, MD

Active since October 27, 2021
194 THOMAS JOHNSON DR, FREDERICK, MD 21702(301) 662-8477 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Frederick Health Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK HEALTH MEDICAL GROUP LLC (NPI 1205590155) is a healthcare organization registered as a hematology in Frederick, Maryland and active in the NPI registry since October 2021. The organization lists Shelby Boggs, Vice President, as its authorized official.

NPPES Registry Identity

NPI1205590155
Entity TypeOrganization
Primary Taxonomy207RH0000X
Legal Business NameFREDERICK HEALTH MEDICAL GROUP LLC
Location Address194 THOMAS JOHNSON DRFrederick, MD 21702-4679
Mailing Address194 Thomas Johnson DrFrederick, MD 21702-4679 · (301) 662-8477
Organization SubpartNo
Authorized OfficialShelby BoggsVice President · (443) 721-4452
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1205590155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
194 THOMAS JOHNSON DR, Frederick, MD 21702

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frederick Health Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

244

Medicare enrollment records show 244 clinicians reassign Medicare billing to Frederick Health Medical Group LLC, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 160 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 37

Nurse Practitioner90
Family Practice23
Internal Medicine16
Gastroenterology14
General Surgery12
Diagnostic Radiology11
Orthopedic Surgery8
Otolaryngology8
29 other specialties62

Nearest to this location (20)

See all 244
Nurse Practitioner
NPI 1477063014
194 THOMAS JOHNSON DR
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316041494
194 THOMAS JOHNSON DR STE A
Frederick, MD 21702
(240) 215-6370
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164103701
194 THOMAS JOHNSON DR
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720511983
194 THOMAS JOHNSON DR STE A
Frederick, MD 21702
(240) 215-6370
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1609166552
194 THOMAS JOHNSON DR STE C
Frederick, MD 21702
(240) 566-4823
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1174631352
194 THOMAS JOHNSON DR
Frederick, MD 21702
(240) 575-2526
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891330908
194 THOMAS JOHNSON DR
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1083027122
194 THOMAS JOHNSON DR STE C
Frederick, MD 21702
(240) 575-2526
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1245218064
194 THOMAS JOHNSON DR SUITE A
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891431516
194 THOMAS JOHNSON DR STE A
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326018664
194 THOMAS JOHNSON DR
Frederick, MD 21702
(240) 215-6370
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1356661839
194 THOMAS JOHNSON DR
Frederick, MD 21702
(240) 215-6310
✔ PECOSSame address
Internal Medicine
NPI 1336342252
194 THOMAS JOHNSON DR
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1922415421
194 THOMAS JOHNSON DR
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457714693
194 THOMAS JOHNSON DR
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1295198166
194 THOMAS JOHNSON DR
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114157112
194 THOMAS JOHNSON DR SUITE A
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
Colorectal Surgery (Proctology)
NPI 1528344116
194 THOMAS JOHNSON DR
Frederick, MD 21702
(240) 575-2526
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1558508887
194 THOMAS JOHNSON DR
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1336645712
194 THOMAS JOHNSON DR STE A
Frederick, MD 21702
(240) 215-6310
✔ PECOSSame address
See all 244 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Health Medical Group LLC's NPI number?

The NPI number for Frederick Health Medical Group LLC is 1205590155. It was assigned to this organization in the NPPES registry on October 27, 2021.

Where is Frederick Health Medical Group LLC located?

Frederick Health Medical Group LLC is located at 194 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (301) 662-8477.

What is Frederick Health Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Frederick Health Medical Group LLC enrolled in Medicare?

Yes. Frederick Health Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Frederick Health Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 244 clinicians in 37 Medicare specialties reassign their Medicare billing to Frederick Health Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (90), Family Practice (23) and Internal Medicine (16). Of these, 22 practice at this address and 160 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Frederick Health Medical Group LLC was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.