FREDERICK DERMATOLOGY ASSOCIATES LLC
NPI 1649435694
Dermatology in Frederick, MD

Active since July 18, 2008
45 THOMAS JOHNSON DR, FREDERICK, MD 21702(301) 928-2105 Get Directions Write a Review

NPPES record last updated: October 20, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Frederick Dermatology Associates Llc NPPES

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

FREDERICK DERMATOLOGY ASSOCIATES LLC (NPI 1649435694) is a healthcare organization registered as a dermatology in Frederick, Maryland and active in the NPI registry since July 2008. The organization lists Kevin P Hogan, Partner, as its authorized official.

NPPES Registry Identity

NPI1649435694
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFREDERICK DERMATOLOGY ASSOCIATES LLC
Location Address45 THOMAS JOHNSON DRFrederick, MD 21702-4425
Mailing Address45 Thomas Jefferson Drive, Suite 209Frederick, MD 21702-4425 · (301) 928-2105
Organization SubpartNo
Authorized OfficialKevin P HoganPartner · (301) 928-2105
Enumeration DateJuly 18, 2008
Last NPPES UpdateOctober 20, 2008
✔ NPI 1649435694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
45 THOMAS JOHNSON DR, Frederick, MD 21702

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 Dermatology Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Frederick Dermatology Associates LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Dermatology
NPI 1003073958
45 THOMAS JOHNSON DRIVE SUITE 209
Frederick, MD 21702
(301) 662-6755
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1649249418
45 THOMAS JOHNSON DRIVE SUITE 211
Frederick, MD 21702
(301) 694-3200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902290935
45 THOMAS JOHNSON DR STE 209
Frederick, MD 21702
(013) 662-6755
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255925327
45 THOMAS JOHNSON DR STE 209
Frederick, MD 21702
(301) 662-6755
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1518596253
110 IRVING ST NW DEPT OF
Washington, DC 20010
(202) 877-6654
✔ PECOS✔ Accepts Medicare42 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1740349182
501 GORDON DR
Exton, PA 19341
(610) 594-6660
✔ PECOS✔ Accepts Medicare102 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dermatology Associates LLC's NPI number?

The NPI number for Frederick Dermatology Associates LLC is 1649435694. It was assigned to this organization in the NPPES registry on July 18, 2008.

Where is Frederick Dermatology Associates LLC located?

Frederick Dermatology Associates LLC is located at 45 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (301) 928-2105.

What is Frederick Dermatology Associates LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Frederick Dermatology Associates LLC enrolled in Medicare?

Yes. Frederick Dermatology Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Frederick Dermatology Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Frederick Dermatology Associates LLC, in Dermatology, General Surgery, Micrographic Dermatologic Surgery (MDS) and Nurse Practitioner. 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Frederick Dermatology Associates LLC was last updated on October 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.