Individual provider Active NPI

Roy Fried, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Bethesda, MD
National Provider Identifier
1881626059
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
D00034590 Issued in MD
Practice address
8403 Thornden Ter
Bethesda, MD 20817-6807
Phone
(240) 899-5197
Fax
(301) 469-5467
NPI assigned
Jul 7, 2006
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D00034590 MD Primary

Addresses

Primary practice location

8403 Thornden Ter
Bethesda, MD 20817-6807

Mailing address

8403 Thornden Ter
Bethesda, MD 20817-6807
Phone (240) 899-5197

Other identifiers 2

IdentifierTypeStateIssuer
415096100MedicaidMD
400550300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080905000273 DC Practitioner - Internal Medicine 0143396762

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D00034590MDMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fried and Wilks, LLC Geriatric Medicine CurrentSince Mar 1, 2010 Accepting new patients
Premier Physician Group, LLC Past Accepting new patients

Locations

7758 Wisconsin Ave
Ste 211
Bethesda, MD 20814

6935 Wisconsin Ave
Ste 314
Chevy Chase, MD 20815

10 N Jefferson St
Ste 300
Frederick, MD 21701

10718 Potomac Tennis Ln
Potomac, MD 20854
Phone (202) 308-4992

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27008/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1881626059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 THORNDEN TER",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176807",
            "telephone_number": "240-899-5197",
            "fax_number": "301-469-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 THORNDEN TER",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176807",
            "telephone_number": "240-899-5197",
            "fax_number": "301-469-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "ROY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D00034590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415096100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400550300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.