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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: August 02, 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
Phone(301) 663-4774
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
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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

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.

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.