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DR. LAWRENCE ELLIOT FRIED M.D.
NPI 1417246760
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Philadelphia, PA

Active since April 06, 2011PECOS Enrolled
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1000(215) 590-1771 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lawrence Elliot Fried M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAWRENCE ELLIOT FRIED M.D. (NPI 1417246760) is an individual neurology with special qualifications in child neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD460835) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1417246760
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. LAWRENCE ELLIOT FRIEDCredential: M.D.
Location Address3500 CIVIC CENTER BLVDPhiladelphia, PA 19104-4395
Mailing Address100 Penn Square East, 9th Floor North TowerPhiladelphia, PA 19107 · (267) 425-9200 · Fax (267) 425-9299
Phone(215) 590-1000
Fax(215) 590-1771
Sole ProprietorYes
Enumeration DateApril 6, 2011
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1417246760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in PA · MD460835
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License MD460835 (PA)
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License MD460835 (PA)
3500 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Secondary Practice Location 1

Location 13401 Civic Center BlvdPhiladelphia, PA 19104-4319 · Phone (215) 590-1719 · Fax (215) 590-1771

Other Identifiers 1

Medicaid1033085850001PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lawrence Elliot Fried M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lawrence Fried reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Health Care Associates
Same address
Pediatrics
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Childrens Health Care Associates Inc
  • 1,225 clinicians in this Medicare group
NPI 1619062668 (215) 590-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REBECCA M HAMMONDS PH.D.
Psychologist (Clinical)
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
BRITTANY E HOYLE PA-C
Physician Assistant
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-3376
ELIZABETH ALANA PUMIGLIA CRNP
Nurse Practitioner
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (518) 225-7417
DR. KEMAR VANINA PRUSSIEN-OKAFOR PHD
Psychologist (Clinical)
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ANJALI RAJESH CHAUHAN MS
Genetic Counselor, MS
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4389
LUCY BERMAN BRANCAZIO MS
Genetic Counselor, MS
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4033
DR. CHRISTOPHER JOHN LAROSA MD
Pediatrics (Pediatric Nephrology)
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
STEPHANIE LAUREN GONZALES
Pediatrics (Pediatric Endocrinology)
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (267) 391-8776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Fried's NPI number?

The NPI number for Lawrence Fried is 1417246760. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Lawrence Fried located?

Lawrence Fried practices at 3500 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.

What is Lawrence Fried's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Lawrence Fried enrolled in Medicare?

Yes. Lawrence Fried is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lawrence Fried's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Fried reassigns Medicare benefits to Children's Health Care Associates (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lawrence Fried's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lawrence Fried was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.