Individual provider Active NPI

Nicholas Lee Friedman, DO

  • Pediatric Pulmonology Physician
  • Bethesda, MD
National Provider Identifier
1083904775
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
966 Issued in NE
Practice address
8901 Rockville Pike
Bethesda, MD 20889-0001
Phone
(301) 295-4000
Fax
(301) 319-2420
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 966 NE
Pediatric Sleep Medicine Physician 2080S0012X 966 NE
Pediatric Pulmonology Physician 2080P0214X 966 NE Primary

Addresses

Primary practice location

8901 Rockville Pike
Bethesda, MD 20889-0001

Mailing address

8901 Rockville Pike
Bethesda, MD 20889-0001
Phone (301) 295-4000

Other identifiers 1

IdentifierTypeStateIssuer
1083904775MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230607000844 DC Practitioner - Pediatric Medicine 7911332986 Reassigns benefits to 2 organizations
I20240620001132 CA Practitioner - Pediatric Medicine 7911332986 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
966NEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Confermed of California PC CurrentSince May 7, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
MGMC, LLC Current Accepting new patients
MGMC LLC CurrentSince May 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Confermed PC Pediatrics Past Accepting new patients

Locations

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

4600 Campus Dr
Ste 203
Newport Beach, CA 92660
Phone (617) 259-5933

11 Silver St
Unit 856
Middletown, CT 06457

4200 Wisconsin Ave NW
Ste 4
Washington, DC 20016
Phone (202) 243-3400

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

4200 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 243-3400

Organizations & group practices 8

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1083904775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 ROCKVILLE PIKE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-4000",
            "fax_number": "301-319-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 ROCKVILLE PIKE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-4000",
            "fax_number": "301-319-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "NICHOLAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "966",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NE",
            "license": "966",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NE",
            "license": "966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083904775",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.