Individual provider Active NPI

Joudeh Bishara Freij, MD

  • Pediatrics Physician
  • Rockville, MD
National Provider Identifier
1154995496
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0101403 Issued in MD
Practice address
2301 Research Blvd Ste 115
Rockville, MD 20850-6544
Phone
(301) 990-1664
Fax
(301) 990-0471
NPI assigned
May 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0101403 MD Primary

Addresses

Primary practice location

2301 Research Blvd Ste 115
Rockville, MD 20850-6544

Mailing address

2301 Research Blvd Ste 115
Rockville, MD 20850-6544
Phone (301) 990-0137

Other practice location 1

10301 Georgia Ave Ste 106
Silver Spring, MD 20902-5020
Phone (301) 681-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210623001223 MI Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5193126514

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0101403MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children First Pediatrics Pediatrics Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1154995496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 RESEARCH BLVD STE 115",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506544",
            "telephone_number": "301-990-0137",
            "fax_number": "301-990-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 RESEARCH BLVD STE 115",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506544",
            "telephone_number": "301-990-1664",
            "fax_number": "301-990-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Georgia Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209025020",
            "country_code": "US",
            "telephone_number": "301-681-6000",
            "fax_number": "301-990-0471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREIJ",
        "first_name": "JOUDEH",
        "middle_name": "BISHARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0101403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.