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DR. RYAN FREDETTE MD
NPI 1265233613
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since March 21, 2025PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: March 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2026, Jun 6, 2025, Mar 21, 2025 (3 updates tracked since 2025).

About Dr. Ryan Fredette Md NPPES

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

DR. RYAN FREDETTE MD (NPI 1265233613) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265233613
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RYAN FREDETTECredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 334-1000
Phone(508) 334-1000
Sole ProprietorNo
Enumeration DateMarch 21, 2025
Last NPPES UpdateMarch 29, 20263 updates tracked since enumeration
NPPES CertifiedMarch 29, 2026
✔ NPI 1265233613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

55 LAKE AVE N, Worcester, MA 01655
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Fredette Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH BETH SAXER PHARMD
Pharmacist (Pharmacotherapy)
55 LAKE AVE N, UMASS MED CENTER DEPT OF PHARMACY
WORCESTER, MA 01655
Worcester County (508) 856-2763
MARTHA LAROSE SAMPSON CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
LINDA A PAPE M.D.
Internal Medicine (Cardiovascular Disease)
55 LAKE AVE N, CARDIOLOGY
WORCESTER, MA 01655
Worcester County (508) 856-3050
DR. DALE E RAUCH M.D.
Psychiatry & Neurology (Psychiatry)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 856-6580
DR. MAICHI T TRAN PHARM.D.
Pharmacist (Pharmacotherapy)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 856-1618
JESSICA L DOUGLAS MS
Genetic Counselor, MS
55 LAKE AVE N, S1-710
WORCESTER, MA 01655
Worcester County (508) 334-3517
DR. JULIANNE PATRICIA HUBER MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
ELLEN M GRAVALLESE M.D.
Internal Medicine (Rheumatology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-5224

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 Ryan Fredette's NPI number?

The NPI number for Ryan Fredette is 1265233613. It was assigned to this individual provider in the NPPES registry on March 21, 2025.

Where is Ryan Fredette located?

Ryan Fredette practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Ryan Fredette's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Fredette enrolled in Medicare?

Yes. Ryan Fredette is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Fredette was last updated on March 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.