FREDERICK UROLOGY SPECIALISTS
NPI 1578831145
Urology in Frederick, MD

Active since December 09, 2011CLIA 21D0220520 · Waiver
1562 OPOSSUMTOWN PIKE STE 301, FREDERICK, MD 21702(301) 663-4774(301) 695-1364 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Frederick Urology Specialists NPPES

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

FREDERICK UROLOGY SPECIALISTS (NPI 1578831145) is a healthcare organization registered as an urology in Frederick, Maryland and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Michelle K Mahan, Sr. Vp And Cfo, as its authorized official.

NPPES Registry Identity

NPI1578831145
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFREDERICK HEALTH MEDICAL GROUP LLC
Location Address1562 OPOSSUMTOWN PIKE STE 301Frederick, MD 21702-4337
Mailing Address900 Toll House AveFrederick, MD 21701-4547 · (301) 663-4774 · Fax (301) 695-1364
Fax(301) 695-1364
Organization SubpartYes
Authorized OfficialMichelle K MahanSr. Vp And Cfo · (240) 566-3355
Enumeration DateDecember 9, 2011
Last NPPES UpdateJanuary 24, 2020
✔ NPI 1578831145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1562 OPOSSUMTOWN PIKE STE 301, Frederick, MD 21702

Other Names 3

Doing Business AsFrederick Urology Specialists
Doing Business AsFrederick Health Medical Group
Former Legal Business NameMonocacy Health Partners Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Urology Specialists 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 Urology Specialists, which bills Medicare for the services they deliver. Of these, 34 practice at this address and 160 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
Internal Medicine
NPI 1386082881
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 662-8119
✔ PECOSSame address
Urology
NPI 1588708267
1562 OPOSSUMTOWN PIKE FL 3
Frederick, MD 21702
(301) 663-4774
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1407838402
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 662-8119
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1528050473
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 662-8477
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255586269
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 662-4774
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013336114
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 662-8477
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1013931526
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 662-8477
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1891134466
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 662-8477
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598756389
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 663-4774
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1174515050
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 662-8477
✔ PECOSSame address
Internal Medicine
NPI 1972583581
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 662-8119
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023000973
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 662-8477
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1609076108
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 662-8119
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1659530509
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1750652152
1562 OPOSSUMTOWN PIKE FL 3
Frederick, MD 21702
(301) 663-4774
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1750508958
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(240) 566-3031
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1174084115
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(402) 156-3102
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1083172134
1562 OPOSSUMTOWN PIKE
Frederick, MD 21702
(240) 215-6310
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1902877020
1564 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 663-3137
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1164492419
1564 OPOSSUMTOWN PIKE
Frederick, MD 21702
(301) 663-3137
✔ PECOS✔ Accepts MedicareSame address
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 21D0220520

Frederick Health Medical Group · Frederick, MD
Active · expires Sep 27, 2027
CLIA Number21D0220520
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorJared Berkowitz
Laboratory Phone(301) 663-4774
Laboratory LocationFrederick Health Medical Group1562 Opossumtown Pike, Frederick, MD 21702
CLIA data matches this NPI record on: Address Name Phone
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 1578831145. It was assigned to this organization in the NPPES registry on December 9, 2011. The provider is doing business as Frederick Urology Specialists and Frederick Health Medical Group. The provider was formerly known as Monocacy Health Partners LLC.

Where is Frederick Health Medical Group LLC located?

Frederick Health Medical Group LLC is located at 1562 Opossumtown Pike Ste 301, Frederick, MD 21702. The listed phone number is (301) 663-4774.

What is Frederick Health Medical Group LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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, 34 practice at this address and 160 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 21D0220520) is associated with this NPI, valid through September 27, 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 January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.