Active NPI
Erin Lane Friedman, D.O.
- Internal Medicine Physician
- Millstadt, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036131014
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120820001149 | IL | Practitioner - Internal Medicine | 2264599349 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
Practice addresses (Care Compare)
60 Regency PL
Millstadt, IL 62260-2210
Phone (618) 476-9177
Hospital & facility affiliations
- Memorial Hospital
- HSHS St Elizabeth'S Hospital
- Barnes Jewish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Healthcare Foundation, Inc. | Current | Accepting new patients | |
| Southern Illinois Healthcare Foundation Inc | Internal Medicine | Current | Accepting new patients |
| Southern Illinois Healthcare Foundation Inc | Current | Accepting new patients | |
| Family Practice Associates, PC | Past | Accepting new patients | |
| Metro Detroit Kidney Associates | Nephrology | Past | 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
- erin.friedman.1@9559.direct.athenahealth.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Centreville, IL
- NPI 1609813500
IL, Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Waterloo, IL
- NPI 1821813247
-
- Federally Qualified Health Center (FQHC)
- Charleston, IL
- NPI 1487070835
-
- Family Medicine Physician
- Waterloo, IL
- NPI 1861688541
-
- Nephrology Physician
- Saint Clair Shores, MI
- NPI 1538392378
Nephrology
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1194765685
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
Hospital
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.