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: August 09, 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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

Psychologist (Clinical)
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Physician Assistant
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychologist (Clinical)
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Nephrology)
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Endocrinology)
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner
3500 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

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.

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.