Individual provider Active NPI

Travis Howell Edelstein, D.O.

  • Vascular & Interventional Radiology Physician
  • Woodbridge, VA
National Provider Identifier
1003056755
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
OS12469 Issued in FL
Practice address
2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone
(703) 523-0611
Fax
(703) 670-2089
NPI assigned
Feb 20, 2009
Last updated
May 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 97821 GA
Vascular & Interventional Radiology Physician 2085R0204X 97821 GA
Vascular & Interventional Radiology Physician 2085R0204X OS12469 FL Primary
Vascular & Interventional Radiology Physician 2085R0204X 0102209297 VA

Addresses

Primary practice location

2300 Opitz Blvd
Woodbridge, VA 22191-3311

Mailing address

1673 Mason Ave Ste 305
Daytona Beach, FL 32117-5516
Phone (352) 671-4300

Other practice location 1

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-9000 ext. 99000

Other practice location 2

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0291

Other practice location 3

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 265-0291

Other practice location 4

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (352) 265-0291

Other names 1

  • Travis H Edelstein Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN, GA, VI, SC, NC6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20140718001233 FL Practitioner - Diagnostic Radiology 7911123443 Reassigns benefits to 15 organizations
I20250422003375 MN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7911123443 Reassigns benefits to 9 organizations
I20250627001462 GA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7911123443 Reassigns benefits to 3 organizations
I20260301000128 VI Practitioner - Diagnostic Radiology 7911123443 Reassigns benefits to 1 organization
I20260526001907 SC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7911123443 Reassigns benefits to 1 organization
I20260611001332 NC Practitioner - Diagnostic Radiology 7911123443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Nova Southeastern College of Osteo Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Imaging Center of Ocala LLPGroup PAC ID 0345130787, 48 clinicians
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Timberridge Imaging CenterGroup PAC ID 9436049863, 49 clinicians
Regional Diagnostic RadiologyGroup PAC ID 8820901564, 38 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Inverness Medical Imaging LLCGroup PAC ID 3870590672, 83 clinicians
Ocala Health Imaging Services LLCGroup PAC ID 8224217179, 48 clinicians
East Cooper Physician Group LLCGroup PAC ID 1254775687, 126 clinicians

Practice addresses (Care Compare)

103 Gardiners Bay Dr
Ponte Vedra, FL 32081-4406
Phone (340) 774-0265

11 5TH Ave NW
Melrose, MN 56352-1071
Phone (320) 256-4949

1406 6TH N Ave
Saint Cloud, MN 56303-1900
Phone (320) 255-5619

14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460
Phone (904) 399-5550

1900 Tebeau St
Waycross, GA 31501-6357
Phone (904) 399-5550

1990 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 257-7787

20 9TH St SE
Long Prairie, MN 56347-1404
Phone (320) 732-2141

200 W 1St St
Paynesville, MN 56362-1445
Phone (320) 243-3779

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2105 Hwy 44 W
Inverness, FL 34453-3805
Phone (352) 419-4818

2300 SE 17TH St
Suite 800
Ocala, FL 34471-9142
Phone (352) 690-8403

320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000

425 Elm N St
Sauk Centre, MN 56378-1010
Phone (320) 352-2221

7091 SW 60TH LN
Ocala, FL 34474-1943
Phone (770) 219-2394

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

743 Spring St NE
Gainesville, GA 30501-3715

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 399-5550

880 Island Park Dr
Unit 230
Daniel Island, SC 29492-2902
Phone (843) 380-9330

9048 Sugar Est
St Thomas, VI 00802-3634
Phone (340) 776-8311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102209297VAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Apr 14, 2025 Accepting new patients
DLP Twin County Physician Practices LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Aug 27, 2023 Accepting new patients
Astera Health Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Diagnostic Radiology Current Accepting new patients
Danville Physician Practices LLC Diagnostic Radiology CurrentSince Oct 6, 2025 Accepting new patients
Sentara Medical Group CurrentSince Jan 20, 2026 Accepting new patients
University of Florida Jacksonville Physicians Inc Diagnostic Radiology CurrentSince Jan 5, 2015 Accepting new patients
Unity Family Healthcare Current Accepting new patients
Stevens Community Medical Center Inc CurrentSince Jun 1, 2025 Accepting new patients
St Cloud Pathologists PA Current Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
Regional Diagnostic Radiology Diagnostic Radiology CurrentSince May 15, 2025 Accepting new patients
Central Imaging LLC Diagnostic Radiology CurrentSince May 15, 2025 Accepting new patients
Astera Health CurrentSince Jun 1, 2025 Accepting new patients
Stevens Community Medical Center Inc Current Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Jan 4, 2026 Accepting new patients
St. Francis Physician Practices LLC Diagnostic Radiology CurrentSince Aug 4, 2025 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Jun 1, 2025 Accepting new patients
St Thomas Radiology Associates LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Unity Family Healthcare Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jan 5, 2015 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Oct 1, 2025 Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology CurrentSince Jan 24, 2026 Accepting new patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Jan 4, 2026 Accepting new patients
Unity Family Healthcare CurrentSince May 6, 2025 Accepting new patients
Unity Family Healthcare CurrentSince May 6, 2025 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients

Locations (25 of 94)

1673 Mason Ave
Ste 305
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704

577 N Williamson Blvd
Daytona Beach, FL 32114

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

655 W 8th St
Fl 2
Jacksonville, FL 32209
Phone (904) 244-4202

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

1901 SE 18th Ave
Ste 200A
Ocala, FL 34471
Phone (352) 671-4252

2300 SE 17th St
Ste 800
Ocala, FL 34471
Phone (352) 690-8403

9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

3202 N Park Rd
Plant City, FL 33563
Phone (813) 757-1200

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

3300 Old Milton Pkwy
Ste 150
Alpharetta, GA 30005

3400 Old Milton Pkwy
Ste C110
Alpharetta, GA 30005

845 Prince Ave
Athens, GA 30606
Phone (706) 549-1118

1110 W Peachtree St NW
Ste 900
Atlanta, GA 30309
Phone (404) 875-2640

Networks

  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • Freedom Health HMO Network
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCECDD/Endpoint/HCECDD
  • Direct secure messaging: tedelstein867159@direct.centracare.com

Organizations & group practices 37

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.

View all 37

Hospital & facility affiliations 5

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1003056755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 MASON AVE STE 305",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175516",
            "telephone_number": "352-671-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913311",
            "telephone_number": "703-523-0611",
            "fax_number": "703-670-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-219-9000 x99000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-0291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-265-0291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865784",
            "country_code": "US",
            "telephone_number": "352-265-0291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "TRAVIS",
        "middle_name": "HOWELL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-20",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "97821",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "97821",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "OS12469",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0102209297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRAVIS",
            "last_name": "EDELSTEIN",
            "middle_name": "H",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.