DR. MICHELLE FREDRICKS (MD) – Family Medicine Physician, NPI 1912909250

DR. MICHELLE FREDRICKS (MD) is a healthcare provider. based in Baytown, Texas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. K0299 (TX). The NPI Number for DR. MICHELLE FREDRICKS (MD) is 1912909250

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE FREDRICKS (MD)
NPI
1912909250
Phone
(281) 425-3800
Address
2800 GARTH RD
Enumeration Date
1 June 2005
Last Update Date
24 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2814253800
Graduation Year
1995 (31 years ago)
PAC ID
4284649260
Group Practice PAC ID
1951215045
Professional Enrollment ID
I20060213000275
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MICHELLE FREDRICKS (MD)

  • Garth Road, Baytown, Harris County, Texas, 77521, United States

    BAYTOWN, TX 775213947

    Phone: (281) 425-3800

    Fax: (281) 425-3992

    Type: Mailing

  • 910 N HIGHWAY 146 FRONTAGE

    BAYTOWN, TX 775203947

    Phone: (281) 837-7571

    Fax: (281) 425-3992

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2006-02-13

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
I20060213000275IEmergency MedicineTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77521)

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Provider's Procedures

DR. MICHELLE FREDRICKS (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINETX81002Urinalysis, manual test6344

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: 1951215045View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MICHELLE FREDRICKS (MD)'s NPI?
Yes. DR. MICHELLE FREDRICKS (MD) is listed with NPI 1912909250 in the public NPI dataset.
Can I rely on DR. MICHELLE FREDRICKS (MD) being an active provider?
As of the registry snapshot, DR. MICHELLE FREDRICKS (MD) is marked active.
What is DR. MICHELLE FREDRICKS (MD)'s primary classification?
Family Medicine Physician is the headline specialty for DR. MICHELLE FREDRICKS (MD) here. Clinical services aligned with this taxonomy classification.
Does DR. MICHELLE FREDRICKS (MD) list a practice location?
Patients near Baytown, Texas may find DR. MICHELLE FREDRICKS (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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