Individual provider Active NPI

Edward G Redovan, M.D.

  • Ophthalmology Physician
  • New Castle, PA
National Provider Identifier
1164468682
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD030598E Issued in PA
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

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0012198860001MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000562 PA Practitioner - Ophthalmology 3577457621 Reassigns benefits to 1 organization

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
Lawrence County Eye Associates PCGroup PAC ID 1951295005, 2 clinicians

Practice addresses (Care Compare)

708 N Jefferson St
New Castle, PA 16101-2178
Phone (724) 658-5597

Hospital & facility affiliations

  • Upmc Jameson Hospital, New Castle, PA, CCN 390016

Merit-based Incentive Payment System (MIPS)

Final score
73 of 100Reported as group
Quality
100
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery117

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence County Eye Associates, PC Ophthalmology CurrentSince May 22, 1986 Accepting new patients
Lawrence County Surgery Center, L.L.C. PastSince May 16, 2003 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.