Individual provider Active NPI

Roland Morris Friedman, M.D.

  • Urology Physician
  • Winston Salem, NC
National Provider Identifier
1790747004
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
17732 Issued in NC
Practice address
2010 Baldwin LN
Winston Salem, NC 27103-5846
Phone
(336) 277-1717
Fax
(336) 277-1718
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 17732 NC Primary

Addresses

Primary practice location

2010 Baldwin LN
Winston Salem, NC 27103-5846

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice location 1

140 Kimel Park Dr
Winston-Salem, NC 27103-6946
Phone (336) 245-2100

Other identifiers 4

IdentifierTypeStateIssuer
340019359OtherNCRR MEDICARE
2209203AOtherNCMEDICARE
2344759OtherNCMEDICARE, GROUP
8933961MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rfriedman129612@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100803001126 NC Practitioner - Urology 7416080031 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Virginia Commonwealth University, School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Piedmont Stone Center PLLCGroup PAC ID 2961315718, 71 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

140 Kimel Park Dr
Suite 100
Winston Salem, NC 27103-6160
Phone (336) 245-2100

1907 S Hawthorne Rd
Winston Salem, NC 27103-3916
Phone (336) 765-6373

7210 Village Medical Cir
Suite 225
Clemmons, NC 27012-8035
Phone (336) 893-3080

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
  • Novant Health Medical Park Hospital Hospital, Winston-Salem, NC, CCN 340148

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17732NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Urology CurrentSince Mar 16, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 23, 2018 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc Urology CurrentSince Sep 23, 2018 Accepting new patients
Piedmont Stone Center PLLC Urology CurrentSince Jul 1, 1995 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients
Medical Park Hospital LLC PastSince Jan 1, 2010 Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

7210 Village Medical Cir
Ste 225
Clemmons, NC 27012
Phone (336) 245-2100

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1730 Kernersville Medical Pkwy
Ste 303
Kernersville, NC 27284
Phone (336) 564-4430

1907 S Hawthorne Rd
Winston Salem, NC 27103

140 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 245-2100

2010 Baldwin Ln
Ste 100
Winston Salem, NC 27103

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

2010 Baldwin Ln
Winston Salem, NC 27103
Phone (336) 277-1717

Interoperability endpoints

  • Direct secure messaging: piedmontstonecenter.013.0330257@psc.meditab.direct-ci.com
  • Direct secure messaging: piedmontstonecenter.015.0330257@psc.meditab.direct-ci.com

Organizations & group practices 8

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 2

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1790747004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BALDWIN LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035846",
            "telephone_number": "336-277-1717",
            "fax_number": "336-277-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Kimel Park Dr",
            "address_purpose": "LOCATION",
            "city": "Winston-Salem",
            "state": "NC",
            "postal_code": "271036946",
            "country_code": "US",
            "telephone_number": "336-245-2100",
            "fax_number": "336-768-7782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ROLAND",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "17732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "340019359",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2209203A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, GROUP",
            "identifier": "2344759",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8933961",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfriedman129612@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "140 Kimel Park Dr",
            "city": "Winston-Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271036946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.