RANDALL C FREDERICK M.D. NPI 1487656393

NPI Information

  • NPI: 1487656393
  • Provider Name: RANDALL C FREDERICK, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8000 WOLF RIVER BLVD
    SUITE 200
    GERMANTOWN, TN
    ZIP 38138
  • Phone: (901) 747-3630

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NPI Details

Randall C Frederick, M.D. is a gastroenterology internal medicine in Germantown, TN. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Randall C Frederick, M.D. NPI is 1487656393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8000 WOLF RIVER BLVD
SUITE 200
GERMANTOWN, TN
ZIP 38138-727
Phone: (901) 747-3630
Fax: (901) 747-4039

The NPI 1487656393 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Measurement of hydrogen in breath to test for stomach and bowel symptoms (HCPCS:91065)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Study of esophagus to assess movement (HCPCS:91010)
  • Monitoring and recording of esophageal function through nasal tube with electrode (HCPCS:91037)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Infusion, normal saline solution, 250 cc (HCPCS:J7050)
  • Administration of chemotherapy into vein, 1 hour or less (HCPCS:96413)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Stool analysis for blood, by fecal hemoglobin determination by immunoassay (HCPCS:82274)
  • Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)
  • Ct scan of abdomen with contrast (HCPCS:74160)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 8/10/2005 and was last updated on 12/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyMD0000013328TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A97052MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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