DR. RYAN MICHAEL FREDERICKS MD
NPI 1942612510
Pediatrics - Pediatric Critical Care Medicine in Seattle, WA

Q: What is Ryan Fredericks's NPI number?

The NPI number for Ryan Fredericks is 1942612510. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Q: What is Ryan Fredericks's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Fredericks was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 29, 2014PECOS Enrolled

747 BROADWAY, SEATTLE, WA 98122(206) 215-2700(206) 215-2702 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 5, 2023, Sep 3, 2023, Jun 24, 2020 and 3 more (6 updates tracked since 2017).

On this page

About Dr. Ryan Michael Fredericks Md NPPES

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

DR. RYAN MICHAEL FREDERICKS MD (NPI 1942612510) is an individual pediatric critical care medicine provider in Seattle, Washington, licensed in Washington (MD61449691) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1942612510

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. RYAN MICHAEL FREDERICKSCredential: MD

Location Address747 BROADWAYSeattle, WA 98122-4379

Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043

Phone(206) 215-2700

Fax(206) 215-2702

Sole ProprietorNo

Enumeration DateMay 29, 2014

Last NPPES UpdateOctober 5, 20236 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1942612510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in WA · MD61449691

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License MD61449691 (WA)

747 BROADWAY, Seattle, WA 98122

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Secondary Practice Location 1

Location 1500 17th AveSeattle, WA 98122-5711 · Phone (206) 215-2700 · Fax (206) 215-2702

Other Identifiers 1

Medicaid2260168WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Michael Fredericks 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.

ASHLEY NICOLE WILSON PHARMD.

Pharmacist

747 BROADWAY, ATTN: INPATIENT PHARMACY
SEATTLE, WA 98122

King County (206) 215-6283

MOHAMMAD IFFAT KABIR ANINDO MD

Internal Medicine

747 BROADWAY
SEATTLE, WA 98122

King County (206) 215-2520

DR. RICHARD KADERA MD

Hospitalist

747 BROADWAY
SEATTLE, WA 98122

King County (206) 215-2520

ROBERT C HANSEN MD

Hospitalist

747 BROADWAY
SEATTLE, WA 98122

King County (206) 215-2520

DR. ELIZABETH JEAN POTTER MD

Internal Medicine

747 BROADWAY
SEATTLE, WA 98122

King County (206) 215-2520

MR. BOBBY WALKER HOLLOWELL CPHT

Pharmacy Technician

747 BROADWAY
SEATTLE, WA 98122

King County (206) 386-6150

JOHN CAMPBELL MD

Radiology (Vascular & Interventional Radiology)

747 BROADWAY, HEATH BUILDING 10TH FLOOR
SEATTLE, WA 98122

King County (206) 215-4253

DAVID ROMANET PHARMD

Pharmacist

747 BROADWAY
SEATTLE, WA 98122

King County (602) 312-2220

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 Ryan Fredericks's NPI number?

The NPI number for Ryan Fredericks is 1942612510. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Ryan Fredericks located?

Ryan Fredericks practices at 747 Broadway, Seattle, WA 98122. The listed phone number is (206) 215-2700.

What is Ryan Fredericks's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Ryan Fredericks enrolled in Medicare?

Yes. Ryan Fredericks is registered in the Medicare PECOS enrollment system.

What insurance does Ryan Fredericks accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ryan Fredericks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Fredericks was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.