MATTHEW RYAN FREDERICKSON MD
NPI 1497448906
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Matthew Frederickson's NPI number?

The NPI number for Matthew Frederickson is 1497448906. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Q: What is Matthew Frederickson's specialty?

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

Active since May 31, 2023PECOS Enrolled

4301 X ST, SACRAMENTO, CA 95817(916) 734-2011 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Matthew Ryan Frederickson Md NPPES

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

MATTHEW RYAN FREDERICKSON MD (NPI 1497448906) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497448906

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW RYAN FREDERICKSONCredential: MD

Location Address4301 X STSacramento, CA 95817-2214

Mailing Address4860 Y St Ste 3800Sacramento, CA 95817-2307

Phone(916) 734-2011

Sole ProprietorYes

Enumeration DateMay 31, 2023

Last NPPES UpdateJune 2, 2023

NPPES CertifiedJune 2, 2023

✔ NPI 1497448906 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.

4301 X ST, Sacramento, CA 95817

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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)

Matthew Ryan Frederickson 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.

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