DR. KEVIN DALE FREDERICK M.D. NPI 1629233572

NPI Information

  • NPI: 1629233572
  • Provider Name: DR. KEVIN DALE FREDERICK, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 N ACADEMY AVE
    M.C. 20-07
    DANVILLE, PA
    ZIP 17822
  • Phone: (570) 271-6301

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NPI Details

DR. Kevin Dale Frederick, M.D. is a diagnostic radiology radiology in Danville, PA with 21 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Kevin Dale Frederick, M.D. NPI is 1629233572. 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:

100 N ACADEMY AVE
M.C. 20-07
DANVILLE, PA
ZIP 17822-800
Phone: (570) 271-6301

The NPI 1629233572 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Single contrast x-ray of upper digestive tract (HCPCS:74240)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Single contrast x-ray of esophagus (HCPCS:74220)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)

The enumeration date for this NPI number is 7/21/2008 and was last updated on 6/9/2020.

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
12085R0202XRadiologyDiagnostic RadiologyMD436166PENNSYLVANIAYes

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: 11/21/2025

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