Active NPI
Rachael Marie Edwards, MD
- Diagnostic Radiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD485081
- Practice address
- 3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746 - Phone
- (616) 363-7272
- Fax
- (616) 361-5828
- NPI assigned
- Mar 19, 2010
- Last updated
- Aug 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD485081 | PA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD189604 | OR | |
| Diagnostic Radiology Physician | 2085R0202X | 4301505952 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | MD60461707 | WA |
Addresses
Primary practice location
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Mailing address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272
Other practice location 1
2502 S Union Ave
Tacoma, WA 98405-1328
Phone (253) 761-9482
Other practice location 2
222 15th Ave SE
Puyallup, WA 98372-3754
Phone (253) 841-4353
Other practice location 3
1304 Fawcett Ave Ste 100
Tacoma, WA 98402
Phone (253) 761-4200
Other practice location 4
320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0389412 | Other | WA | LNI-TRA KING COUNTY |
| 1073837035 | Medicaid | WA | |
| 0389413 | Other | WA | LNI-UAOM |
| 0389410 | Other | WA | LNI-TRA REST OF WA |
| 0389414 | Other | WA | LNI-DINW |
| 2019283 | Medicaid | WA |
Other names 1
- Rachael Marie Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Washington School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
189 E Main St
Westfield, NY 14787-1104
Phone (716) 793-2221
320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Family Medicine | Current | Accepting new patients |
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients | |
| Union Avenue Open MRI LLC | Current | Accepting new patients | |
| Chautauqua Medical Practice, P.C. | Family Medicine | Current | Accepting new patients |
| Allegheny Clinic Radiology | Diagnostic Radiology | Current | Accepting new patients |
| Radiologic Associates Prof Corp | Diagnostic Radiology | Past | Accepting new patients |
| Saint Vincent Consultants in Cardiovascular Diseases | Past | Accepting new patients | |
| St Vincent Medical Education and Research Institute Inc | Family Medicine | Past | Accepting new patients |
Locations
189 E Main St
Westfield, NY 14787
Phone (716) 326-4921
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308
320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131
510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030
222 15th Ave SE
Puyallup, WA 98372
1101 Madison St
Ste 580
Seattle, WA 98104
Phone (206) 400-7625
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372
2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900
3402 S 18th St
Tacoma, WA 98405
Phone (253) 383-1099
9601 Steilacoom Blvd SW
Tacoma, WA 98498
Phone (253) 582-8900
Interoperability endpoints
- rachael.edwards.p42@direct.proliance.nextgenshare.com
- redwards1126011@direct.hfhs.org
- redwards910057@direct.ahn.org
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Bemus Point, NY
- NPI 1922181767
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1568531242
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1396814166
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
Family Medicine
-
dba Northwest Women's Healthcare
- Obstetrics & Gynecology Physician
- Seattle, WA
- NPI 1326584673
-
- Diagnostic Radiology Physician
- Middletown, NY
- NPI 1033125844
-
- Cardiovascular Disease Physician
- Erie, PA
- NPI 1902114911
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
Family Medicine
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clairton, PA
- NPI 1578560504
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
-
dba The Western Pennsylvania Hospital
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1194744805
-
dba Allegheny General Hospital
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1285667493
-
dba Allegheny General Hospital - OP Psych
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburgh, PA
- NPI 1295857530
Hospital
-
dba The Western Pennsylvania Hospital
- Oncology Clinic/Center
- Pittsburgh, PA
- NPI 1346489143
Hospital
-
dba Forbes Regional Hospital
- General Acute Care Hospital
- Monroeville, PA
- NPI 1679592380
-
dba Allegheny General Hospital - Life Flight
- Air Ambulance
- Pittsburgh, PA
- NPI 1821110172
Hospital
-
dba Allegheny General Hospital
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburgh, PA
- NPI 1912029265
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1073837035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
}
],
"practiceLocations": [
{
"address_1": "2502 S Union Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984051328",
"country_code": "US",
"telephone_number": "253-761-9482",
"fax_number": "253-759-6252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 15th Ave SE",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983723754",
"country_code": "US",
"telephone_number": "253-841-4353",
"fax_number": "253-583-8630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1304 Fawcett Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "98402",
"country_code": "US",
"telephone_number": "253-761-4200",
"fax_number": "253-761-4201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "320 E North Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152124756",
"country_code": "US",
"telephone_number": "412-359-2459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "RACHAEL",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-19",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD485081",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD189604",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301505952",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60461707",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LNI-TRA KING COUNTY",
"identifier": "0389412",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073837035",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LNI-UAOM",
"identifier": "0389413",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LNI-TRA REST OF WA",
"identifier": "0389410",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LNI-DINW",
"identifier": "0389414",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2019283",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHAEL",
"last_name": "DAVIS",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.