Individual provider Active NPI

Eliot B Friedman, MD

  • Pulmonary Disease Physician
  • Wynnewood, PA
National Provider Identifier
1659434165
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD422904 Issued in PA
Practice address
100 E Lancaster Ave Ste 230
Wynnewood, PA 19096-3451
Phone
(610) 642-3796
Fax
(610) 642-2943
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD422904 PA Primary

Addresses

Primary practice location

100 E Lancaster Ave Ste 230
Wynnewood, PA 19096-3451

Mailing address

100 Lancaster Ave
Suite 230
Wynnewood, PA 19096
Phone (610) 642-3796

Other practice location 1

255 W Lancaster Ave Ste 124
Paoli, PA 19301-1764
Phone (610) 648-0553

Other identifiers 1

IdentifierTypeStateIssuer
1018499890008MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070227000005 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1850493594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonology Associates IncGroup PAC ID 5698757763, 18 clinicians

Practice addresses (Care Compare)

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (610) 648-0553

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonology Associates Inc Pulmonary Disease CurrentSince Jul 5, 2011 Accepting new patients
Main Line Healthcare PastSince Sep 8, 2019 Accepting new patients
Main Line Hospitals, Inc. Past Accepting new patients

Locations

255 W Lancaster Ave
Ste 124
Paoli, PA 19301
Phone (610) 648-0553

100 E Lancaster Ave
Ste 230W
Wynnewood, PA 19096

100 E Lancaster Ave
Ste 230
Wynnewood, PA 19096
Phone (610) 642-3796

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJJDBA
  • Direct secure messaging: eliot.friedman@pai.eclinicaldirectplus.com

Organizations & group practices 3

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 4

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1659434165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LANCASTER AVE",
            "address_2": "SUITE 230",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "19096",
            "telephone_number": "610-642-3796",
            "fax_number": "610-642-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 230",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963451",
            "telephone_number": "610-642-3796",
            "fax_number": "610-642-2943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Lancaster Ave Ste 124",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011764",
            "country_code": "US",
            "telephone_number": "610-648-0553",
            "fax_number": "610-640-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ELIOT",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD422904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018499890008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.