Edna Idan, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

V1133 Issued in TX

Practice address

1313 2St Ave South 703 Oxford House
Nashville, TN 37232-4700

Phone

(615) 936-0087

Fax

(615) 936-1316

NPI assigned

Apr 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment NPD
• Usacs Integrated Acute Care Services of Texas, PLLC

  • Internal Medicine Physician
  • Cedar Park, TX
  • NPI 1801300322
  Medicare reassignment NPD

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1144803990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 2ST AVE SOUTH 703 OXFORD HOUSE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372324700",
            "telephone_number": "615-936-0087",
            "fax_number": "615-936-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 2ST AVE SOUTH 703 OXFORD HOUSE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372324700",
            "telephone_number": "615-936-0087",
            "fax_number": "615-936-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDAN",
        "first_name": "EDNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "V1133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ic Opportunities
• Icare Therapy TN LLC
• Icarus Addiction Care
• Nkeiru Icheke
• Icon Pediatrics, LLC
• Daniel Jay Iddings
• Ideal Dental of Melrose PLLC
• Tia Idehen
• Adaobi Jennifer Ideli, CRNP
• Simon Igho Idiare

• Emergency Medicine Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.