Individual provider Active NPI

Robert A. Friedman, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Austin, TX
National Provider Identifier
1013994938
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
M5713 Issued in TX
Practice address
4107 Spicewood Springs Rd
Austin, TX 78759-8660
Phone
(512) 397-3360
Fax
(512) 343-7107
NPI assigned
Dec 30, 2005
Last updated
Oct 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X M5713 TX Primary

Addresses

Primary practice location

4107 Spicewood Springs Rd
Austin, TX 78759-8660

Mailing address

4107 Spicewood Springs Rd
Austin, TX 78759-8660
Phone (512) 397-3360

Other identifiers 1

IdentifierTypeStateIssuer
241092MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Hospice Brazos Valley, Inc. Hospice and Palliative Medicine Past Accepting new patients
NM Pacs 2 LLC Past Accepting new patients
Hospice Austin Hospice and Palliative Medicine PastSince Dec 6, 2011 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1013994938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 SPICEWOOD SPRINGS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598660",
            "telephone_number": "512-397-3360",
            "fax_number": "512-343-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 SPICEWOOD SPRINGS RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598660",
            "telephone_number": "512-397-3360",
            "fax_number": "512-343-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "M5713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241092",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.