CHARLES E FREDERICKS (M.D.) – Emergency Medicine Physician, NPI 1104861624

CHARLES E FREDERICKS (M.D.) is a healthcare provider. based in Nashville, Tennessee. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 28703 (TN). The NPI Number for CHARLES E FREDERICKS (M.D.) is 1104861624

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES E FREDERICKS (M.D.)
NPI
1104861624
Phone
(615) 329-4020
Address
1 VANTAGE WAY
Enumeration Date
18 June 2006
Last Update Date
10 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6152845555
Graduation Year
1980 (46 years ago)
PAC ID
3870619224
Group Practice PAC ID
3678464526
Professional Enrollment ID
I20100923000364
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for CHARLES E FREDERICKS (M.D.)

  • 1, Vantage Way, Nashville, Davidson County, Middle Tennessee, Tennessee, 37228, United States

    SUITE B240

    NASHVILLE, TN 372281515

    Phone: (615) 329-4020

    Fax: (615) 327-4403

    Type: Mailing

  • Saint Thomas Midtown Hospital, 2000, Church Street, Nashville, Davidson County, Tennessee, 37236, United States

    NASHVILLE, TN 372360001

    Phone: (800) 251-2014

    Fax: (615) 284-3854

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100923000364IEmergency MedicineTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making192176$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only183161$0
99284Emergency department visit with moderate level of medical decision making4242$0
99291Critical care, first 30-74 minutes3837$0
View full utilization report →

Insurance plans in this area (ZIP 37228)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678464526View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify CHARLES E FREDERICKS (M.D.) for billing?
Administrative and clinical systems typically use NPI 1104861624 for CHARLES E FREDERICKS (M.D.).
Is CHARLES E FREDERICKS (M.D.)'s NPI status active today?
Active status means CHARLES E FREDERICKS (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say CHARLES E FREDERICKS (M.D.) does?
Insurance directories may phrase it differently, but here CHARLES E FREDERICKS (M.D.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit CHARLES E FREDERICKS (M.D.) in Nashville, Tennessee?
For routing, start with Nashville, Tennessee for CHARLES E FREDERICKS (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

DR. DAVID O RANZ (MD)

Ophthalmology Physician
171, Heritage Park Drive, Haynes Haven, Murfreesboro, Rutherford County, Tennessee, 37129, United States
NPI: 1780689141

JARED J MCKINNEY (M.D.)

Emergency Medicine Physician
3601 TVC
NPI: 1891794566

DR. HAROLD A III SLOAS (DO, RDMS)

Pediatric Emergency Medicine (Emergency Medicine) Physician
116, Rich Circle, The Highlands at Ladd Park, Franklin, Williamson County, Tennessee, 37064, United States
NPI: 1457351165

BONNIE F RANDOLPH (MD)

Internal Medicine Physician
6263, Poplar Avenue, Memphis, Shelby County, Tennessee, 38119, United States
NPI: 1497756258

DR. DEANN M BULLOCK WATKINS (MD)

Emergency Medicine Physician
Nashville General Hospital, 1818, Albion Street, Nashville, Davidson County, Middle Tennessee, Tennessee, 37208, United States
NPI: 1437144656

DR. MATTHEW BRIAN WILKINSON (M.D.)

Internal Medicine Physician
931, Surrey Court, Edwardsville, Madison County, Illinois, 62025, United States
NPI: 1821083866

DR. NABIL BOUTROS (MD)

Emergency Medicine Physician
Vantage Way, Nashville, Davidson County, Tennessee, 37228, United States
NPI: 1962493676

JASON R BEGUE (MD)

Emergency Medicine Physician
1057 GREYSTONE COVE DR
NPI: 1336120682

DR. AMBER ALLEN BARRY (MD)

Emergency Medicine Physician
2119, Sharondale Drive, Nashville, Davidson County, Middle Tennessee, Tennessee, 37215, United States
NPI: 1124003504