Individual provider Active NPI

Steven H Edelman, MD

  • Diagnostic Neuroimaging (Radiology) Physician
  • Chapel Hill, NC
National Provider Identifier
1093769390
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
License
2020-04056 Issued in NC
Practice address
Unc-CH Dept of Radiology W2108A Old Clinic CB#7510
Chapel Hill, NC 27599-6255
Phone
(919) 966-9047
Fax
(919) 843-8740
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 09360 OR
Diagnostic Radiology Physician 2085R0202X 2020-04056 NC
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 2020-04056 NC Primary

Addresses

Primary practice location

Unc-CH Dept of Radiology W2108A Old Clinic CB#7510
Chapel Hill, NC 27599-6255

Mailing address

Unc-CH Dept of Radiology W2108A Old Clinic CB#7510
Chapel Hill, NC 27599-0001
Phone (919) 966-9047

Other identifiers 1

IdentifierTypeStateIssuer
019117MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-04056NCMDDiagnostic Radiology Physician
09360ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McMinnville Imaging Associates LLP Diagnostic Radiology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1093769390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNC-CH DEPT OF RADIOLOGY W2108A OLD CLINIC CB#7510",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-9047",
            "fax_number": "919-843-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC-CH DEPT OF RADIOLOGY W2108A OLD CLINIC CB#7510",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275996255",
            "telephone_number": "919-966-9047",
            "fax_number": "919-843-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "STEVEN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "09360",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2020-04056",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NC",
            "license": "2020-04056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019117",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.