Glen C Friedman MD PA – Anatomic Pathology & Clinical Pathology Physician, NPI 1669433272
Anatomic Pathology & Clinical Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Glen C Friedman MD PA
1801 N OREGON ST
EL PASO, TX 799023524
Phone: (915) 521-1341
Fax: (915) 599-4424
Type: Location
PO BOX 421479
HOUSTON, TX 772421479
Phone: (915) 200-1479
Fax: (915) 200-7566
Type: Mailing
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 753740968
Phone: (915) 521-1341
Fax: (915) 521-1494
Type: Mailing
Las Palmas Medical Center, 1801, North Oregon Street, El Paso, El Paso County, Texas, 79902, United States
DEPARTMENT OF PATHOLOGY
EL PASO, TX 799023591
Phone: (915) 521-1341
Fax: (915) 521-1494
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-06-30 (16 days away).
Enrollment records
1
Earliest due date
2026-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050324000189 | O | Clinic/Group Practice | TX | 2026-06-30 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79902)
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