Active NPI
Edward G Redovan, M.D.
- Ophthalmology Physician
- New Castle, PA
National Provider Identifier
1164468682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD030598E
- Practice address
- 708 N Jefferson St
New Castle, PA 16101-2178 - Phone
- (724) 658-5597
- Fax
- (724) 658-8364
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD030598E | PA | Primary |
Addresses
Primary practice location
708 N Jefferson St
New Castle, PA 16101-2178
Mailing address
708 N Jefferson St
New Castle, PA 16101-2178
Phone (724) 658-5597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012198860001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Temple University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
708 N Jefferson St
New Castle, PA 16101-2178
Phone (724) 658-5597
Hospital & facility affiliations
- Upmc Jameson
Merit-based Incentive Payment System (MIPS)
- Final score
- 73 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 10
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence County Eye Associates, PC | Ophthalmology | Current | Accepting new patients |
| Lawrence County Surgery Center, L.L.C. | Past | Accepting new patients |
Locations
708 N Jefferson St
New Castle, PA 16101
Phone (724) 658-5597
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- New Castle, PA
- NPI 1295768877
-
- Ambulatory Surgical Clinic/Center
- New Castle, PA
- NPI 1184699233
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Castle, PA
- NPI 1477538312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1164468682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 N JEFFERSON ST",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161012178",
"telephone_number": "724-658-5597",
"fax_number": "724-658-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 N JEFFERSON ST",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161012178",
"telephone_number": "724-658-5597",
"fax_number": "724-658-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDOVAN",
"first_name": "EDWARD",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD030598E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012198860001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Castle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.