Individual provider Active NPI

Erin Lane Friedman, D.O.

  • Internal Medicine Physician
  • Millstadt, IL
National Provider Identifier
1356557698
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036131014 Issued in IL
Practice address
60 Regency PL
Millstadt, IL 62260-2210
Phone
(618) 476-3373
Fax
(618) 476-1890
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036131014 IL Primary

Addresses

Primary practice location

60 Regency PL
Millstadt, IL 62260-2210

Mailing address

60 Regency PL
Millstadt, IL 62260-2210
Phone (618) 476-3373

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erin.friedman.1@9559.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20120820001149 IL Practitioner - Internal MedicinePractitioner - Nephrology 2264599349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Illinois Healthcare Foundation Inc 117 clinicians

Practice addresses (Care Compare)

60 Regency PL
Millstadt, IL 62260-2210
Phone (618) 476-9177

Hospital & facility affiliations

  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Oct 12, 2023 Accepting new patients
Southern Illinois Healthcare Foundation Inc Internal Medicine Current Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Oct 12, 2023 Accepting new patients
Family Practice Associates, PC Past Accepting new patients
Metro Detroit Kidney Associates Nephrology PastSince Dec 1, 2017 Accepting new patients
Washington University Past Accepting new patients

Locations

6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

60 Regency Pl
Millstadt, IL 62260
Phone (618) 476-3373

2041 Goose Lake Rd
Sauget, IL 62206

Interoperability endpoints

  • Direct secure messaging: erin.friedman.1@9559.direct.athenahealth.com
  • Direct secure messaging: elfriedm@yourcarecommunity.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1356557698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 REGENCY PL",
            "city": "MILLSTADT",
            "state": "IL",
            "postal_code": "622602210",
            "telephone_number": "618-476-3373",
            "fax_number": "618-476-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 REGENCY PL",
            "city": "MILLSTADT",
            "state": "IL",
            "postal_code": "622602210",
            "telephone_number": "618-476-3373",
            "fax_number": "618-476-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ERIN",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036131014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erin.friedman.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "60 Regency Pl",
            "city": "Millstadt",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622602210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Millstadt, IL

Sources for this page

Verify at the official NPI Registry.