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FREDERICK HEALTH MEDICAL GROUP LLC
NPI 1205650777
Family Medicine in Frederick, MD

Active since November 12, 2024CLIA 21D1099887 · Waiver
3430 WORTHINGTON BLVD, FREDERICK, MD 21704(240) 215-6310 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2026, Nov 12, 2024 (2 updates tracked since 2024).

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 1205650777), doing business as Frederick Health Medical Group, is a healthcare organization registered as a family medicine in Frederick, Maryland and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Jenny Fitzpatrick, Director, Professional Fees Revenue, as its authorized official.

NPPES Registry Identity

NPI1205650777
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFREDERICK HEALTH MEDICAL GROUP LLC
Location Address3430 WORTHINGTON BLVDFrederick, MD 21704-7017
Mailing Address400 W 7th StFrederick, MD 21701-4506
Phone(240) 215-6310
Organization SubpartNo
Authorized OfficialJenny FitzpatrickDirector, Professional Fees Revenue · (240) 439-8774
Enumeration DateNovember 12, 2024
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1205650777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3430 WORTHINGTON BLVD, Frederick, MD 21704
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Other Names 1

Doing Business AsFrederick Health Medical Group

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, 1 practice at this address and 158 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
B Shanes, MD
Family Practice
NPI 1679551816
3430 WORTHINGTON BLVD
Frederick, MD 21704
(240) 874-2530
✔ PECOS✔ Accepts MedicareSame address
Dhivya Pahwa
Endocrinology
NPI 1417448648
10260 SILVERSIDE ST
Ijamsville, MD 21754
(240) 215-6310
✔ PECOS4.7 mi
Kelly Llewellyn, CRNP, FNP-BC
Nurse Practitioner
NPI 1336578947
9093 RIDGEFIELD DR #104
Frederick, MD 21701
(301) 682-4100
✔ PECOS✔ Accepts Medicare4.9 mi
Patrick Farrell, D.O.
Family Practice
NPI 1053765487
9093 RIDGEFIELD DR STE 104
Frederick, MD 21701
(301) 682-4100
✔ PECOS4.9 mi
Blessing Nwaneri, NP
Nurse Practitioner
NPI 1184272403
9093 RIDGEFIELD DR STE 104
Frederick, MD 21701
(240) 913-5950
✔ PECOS✔ Accepts Medicare4.9 mi
Martin Sarkar, D.O.
Endocrinology
NPI 1518005636
9093 RIDGEFIELD DR STE 104
Frederick, MD 21701
(240) 956-5475
✔ PECOS✔ Accepts Medicare4.9 mi
Melissa Asuncion, MD
Family Practice
NPI 1396749834
7211 BANK CT
Frederick, MD 21703
(240) 215-6370
✔ PECOS✔ Accepts Medicare5.3 mi
Kristin Conley, DO
Internal Medicine
NPI 1023189958
7211 BANK CT
Frederick, MD 21703
(240) 566-7830
✔ PECOS✔ Accepts Medicare5.3 mi
Christine Harris, M.D.
General Surgery
NPI 1629271374
7211 BANK CT STE 110
Frederick, MD 21703
(301) 418-6611
✔ PECOS✔ Accepts Medicare5.3 mi
Marcia Wolfinger
Mental Health Counselor
NPI 1225570658
7211 BANK CT
Frederick, MD 21703
(240) 566-7830
✔ PECOS✔ Accepts Medicare5.3 mi
Kiarash Zarbalian, MD
Endocrinology
NPI 1467587063
7211 BANK CT
Frederick, MD 21703
(240) 566-7830
✔ PECOS✔ Accepts Medicare5.3 mi
Syed Mahmood, M.D.
Pulmonary Disease
NPI 1831544022
7211 BANK CT
Frederick, MD 21703
(240) 215-6310
✔ PECOS✔ Accepts Medicare5.3 mi
Jennifer Nimarko
Nurse Practitioner
NPI 1477108041
7211 BANK CT
Frederick, MD 21703
(240) 215-1454
✔ PECOS✔ Accepts Medicare5.3 mi
Victor Peng, DO
Sleep Medicine
NPI 1508357021
7211 BANK CT
Frederick, MD 21703
(240) 215-6310
✔ PECOS✔ Accepts Medicare5.3 mi
Khine Sann
Infectious Disease
NPI 1376958744
7211 BANK CT STE 230
Frederick, MD 21703
(240) 215-6310
✔ PECOS✔ Accepts Medicare5.3 mi
Katherine Wyatt Fields, RD, CDE
Registered Dietitian or Nutrition Professional
NPI 1114305224
7211 BANK CT SUITE 240
Frederick, MD 21703
(240) 215-1454
5.3 mi
Patricia Nazzal, LCSW-C, CAC-AD
Clinical Social Worker
NPI 1780557215
5387 PARTNERS CT
Frederick, MD 21703
(301) 401-1141
✔ PECOS5.4 mi
Ayodeji Somefun, M.D.
Psychiatry
NPI 1831165380
604 SOLAREX CT SUITE 201
Frederick, MD 21703
(301) 663-8263
✔ PECOS✔ Accepts Medicare6.9 mi
Rizwana Afzal, M.D.
Diagnostic Radiology
NPI 1144330101
501 W 7TH ST
Frederick, MD 21701
(240) 566-3421
✔ PECOS✔ Accepts Medicare7.0 mi
Wayne Cardoni, D.O.
Otolaryngology
NPI 1578622130
501 W 7TH ST
Frederick, MD 21701
(301) 663-9573
✔ PECOS✔ Accepts Medicare7.0 mi
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1099887

Frederick Health Medical Group · Frederick, MD
Active · expires May 25, 2027
CLIA Number21D1099887
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorDr. Alice Esame
Laboratory Phone(240) 566-5400
Laboratory LocationFrederick Health Medical Group3430 Worthington Blvd, Frederick, MD 21704
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1205650777. It was assigned to this organization in the NPPES registry on November 12, 2024. The provider is doing business as Frederick Health Medical Group.

Where is Frederick Health Medical Group LLC located?

Frederick Health Medical Group LLC is located at 3430 Worthington Blvd, Frederick, MD 21704. The listed phone number is (240) 215-6310.

What is Frederick Health Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 1 practice at this address and 158 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Frederick Health Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1099887) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Frederick Health Medical Group LLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.