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DR. FREDERICK J MENICK M.D.
NPI 1427042233
Specialist in Tucson, AZ

Active since September 07, 2005Opted out of Medicare · through Jul 1, 2027
1102 N EL DORADO PL, TUCSON, AZ 85715(520) 881-4525(520) 881-2962 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Frederick J Menick M.d. NPPES

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

DR. FREDERICK J MENICK M.D. (NPI 1427042233) is an individual specialist in Tucson, Arizona, licensed in Arizona (11308) and active in the NPI registry since September 2005. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1427042233
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. FREDERICK J MENICKCredential: M.D.
Location Address1102 N EL DORADO PLTucson, AZ 85715-4606
Mailing Address1102 N El Dorado PlTucson, AZ 85715-4606 · (520) 881-4525 · Fax (520) 881-2962
Phone(520) 881-4525
Fax(520) 881-2962
Sole ProprietorYes
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427042233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 11308
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1102 N EL DORADO PL, Tucson, AZ 85715
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Other Identifiers 3

Medicare UPINC99972AZ
Medicaid22953501AZ
Medicare ID-Type Unspecified860449796AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Frederick J Menick M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2015 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2015
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

ISMILE TUCSON, LLC
Dentist (General Practice)
1102 N EL DORADO PL
TUCSON, AZ 85715
Pima County (520) 514-7400
GARRETT GEIGER DMD
Dentist (General Practice)
1102 N EL DORADO PL
TUCSON, AZ 85715
Pima County (520) 525-1534
ARRAN INDUSTRIES
Plastic Surgery
1102 N EL DORADO PL
TUCSON, AZ 85715
Pima County (520) 881-4525

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 Menick's NPI number?

The NPI number for Frederick Menick is 1427042233. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Frederick Menick located?

Frederick Menick practices at 1102 N El Dorado Pl, Tucson, AZ 85715. The listed phone number is (520) 881-4525.

What is Frederick Menick's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Frederick Menick enrolled in Medicare?

No. Frederick Menick has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Frederick Menick was last updated on July 8, 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.