FREDERICK PLACE MD
NPI 1336190123
Emergency Medicine in Falls Church, VA
About Frederick Place Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDERICK PLACE MD (NPI 1336190123) is an individual emergency medicine provider in Falls Church, Virginia, licensed in Virginia (0101231149) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Frederick Place Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Frederick Place reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia enrollment
- 1,150 clinicians in this Medicare group
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia enrollment
- 2,618 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FALLS CHURCH, VA 22042
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 Place's NPI number?
The NPI number for Frederick Place is 1336190123. It was assigned to this individual provider in the NPPES registry on May 15, 2006.
Where is Frederick Place located?
Frederick Place practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-3111.
What is Frederick Place's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Frederick Place enrolled in Medicare?
Yes. Frederick Place is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Frederick Place's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Place reassigns Medicare benefits to 2 organizations: Emergency Medicine Associates P.A., P.C. (Falls Church, VA) and Inova Health Care Services (Falls Church, VA). Each 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 Frederick Place's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Frederick Place was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Frederick Place, MD · NPI 1336190123
Emergency Medicine physician in Falls Church, Virginia. Individual provider, active in the CMS NPPES registry since May 15, 2006.
## Identity
- **NPI:** 1336190123 (Entity type: Individual)
- **Enumerated:** May 15, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0101231149 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3300 GALLOWS RD, Falls Church, VA 22042-3307
- **Phone:** (703) 776-3111 · **Fax:** (800) 536-8431
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Associates P.A., P.C. (NPI 1134117393, Falls Church, VA); Inova Health Care Services (NPI 1952320061, Falls Church, VA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2007
- **Other identifiers:** Medicare UPIN G09389 (VA); Medicare ID-Type Unspecified 007584E00 (VA); Medicaid 5859956 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1336190123) · Data from the CMS NPPES public registry.