Melissa Beth Friedland, M.D.
Individual provider Active NPI Family Medicine Physician · Silver, MD
NPI 1124129432 · NPPES record last updated Jul 13, 2010
Key facts
- NPI
- 1124129432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D32923 (MD)
- Practice address
- 2415 Musgrove Rd
#105
Silver, MD 20904 - Phone
- (301) 989-3464
- Fax
- (310) 879-2325
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110510000514 | DC | Practitioner - Family Practice | 8628097912 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery Family Medicine Associates PC | Family Medicine | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2415 Musgrove Rd
Ste 105
Silver Spring, MD 20904
Phone (301) 989-0193
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D32923 | MD | Yes |
Addresses
Primary practice location
2415 Musgrove Rd
#105
Silver, MD 20904
Mailing address
2415 Musgrove Rd
#105
Silver, MD 20904
Phone (301) 989-3464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 521638204 | Other | MD | TAX ID |
| 08080-1600 | Medicaid | MD |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.