DR. WINSTON RAPHAEL FREDERICK MD
NPI 1720100340
Internal Medicine - Infectious Disease in Washington, DC

Active since April 04, 2007Opted out of Medicare · through Mar 8, 2027CLIA 09D0645032 · Microscopy
1160 VARNUM ST NE, DEPAUL BLDG SUITE 016, WASHINGTON, DC 20017(202) 526-6442(202) 526-5035 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Winston Raphael Frederick Md NPPES

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

DR. WINSTON RAPHAEL FREDERICK MD (NPI 1720100340) is an individual infectious disease provider in Washington, District Of Columbia, licensed in District Of Columbia (MD14686) and active in the NPI registry since April 2007. He has opted out of Medicare through March 8, 2027 and remains eligible to order and refer and holds a CLIA Microscopy certificate valid through November 7, 2026.

NPPES Registry Identity

NPI1720100340
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. WINSTON RAPHAEL FREDERICKCredential: MD
Location Address1160 VARNUM ST NE, DEPAUL BLDG SUITE 016Washington, DC 20017
Mailing AddressPo Box 644Rockville, MD 20848 · (240) 899-0401 · Fax (202) 526-5035
Fax(202) 526-5035
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1720100340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in DC · MD14686
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1160 VARNUM ST NE, Washington, DC 20017

Other Identifiers 2

Medicare ID-Type Unspecified012342H13
Medicare UPINC87931

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. Winston Raphael Frederick Md 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 March 8, 2017 through March 8, 2027.

Opt-Out Effective DateMarch 8, 2017
Opt-Out In Effect ThroughMarch 8, 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.

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 for Provider-Performed Microscopy Procedures (PPMP) 09D0645032

Winston R Frederick, MD · Washington, DC
Active · expires Nov 7, 2026
CLIA Number09D0645032
Laboratory TypeHospital
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorDr. Winston R. Frederick
Laboratory Phone(202) 526-6442
Laboratory LocationWinston R Frederick, MD1160 Varnum Street, NE, Suite 016, Washington, DC 20017
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Psychiatric/Mental Health)
1160 VARNUM ST NE, SUITE 317
WASHINGTON, DC 20017
Internal Medicine
1160 VARNUM ST NE, DEPAUL 317
WASHINGTON, DC 20017
Behavior Technician
1160 VARNUM ST NE
WASHINGTON, DC 20017
Internal Medicine
1160 VARNUM ST NE
WASHINGTON, DC 20017
Pharmacist
1160 VARNUM ST NE
WASHINGTON, DC 20017
Surgery
1160 VARNUM ST NE, DEPAUL 300
WASHINGTON, DC 20017
Internal Medicine
1160 VARNUM ST NE, DEPAUL 311
WASHINGTON, DC 20017
Behavior Technician
1160 VARNUM ST NE
WASHINGTON, DC 20017

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 Winston Frederick's NPI number?

The NPI number for Winston Frederick is 1720100340. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Winston Frederick located?

Winston Frederick practices at 1160 Varnum St NE Depaul Bldg Suite 016, Washington, DC 20017. The listed phone number is (202) 526-6442.

What is Winston Frederick's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Winston Frederick enrolled in Medicare?

No. Winston Frederick has opted out of Medicare through March 8, 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.

Does Winston Frederick hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 09D0645032) is associated with this NPI, valid through November 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Winston Frederick 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.