Individual provider Active NPI

Edwin C Radke, M.D.

  • Obstetrics & Gynecology Physician
  • Andover, MA
National Provider Identifier
1184661761
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
81954 Issued in MA
Practice address
140 Haverhill Street
Andover OB/GYN
Andover, MA 01810
Phone
(978) 475-2731
NPI assigned
Jun 1, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 81954 MA Primary

Addresses

Primary practice location

140 Haverhill Street
Andover OB/GYN
Andover, MA 01810

Mailing address

140 Haverhill St
Andover, MA 01810-1504
Phone (978) 475-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040615001085 MA Practitioner - Obstetrics/Gynecology 6709860018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andover Obstetrics and Gynecological Associates PCGroup PAC ID 0345224648, 11 clinicians

Practice addresses (Care Compare)

1 Pkwy
Suite 4
Haverhill, MA 01830-6220
Phone (978) 478-0532

323 Lowell St
Suite 302
Andover, MA 01810-4659
Phone (978) 475-2731

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81954MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andover Obstetrics and Gynecological Associates, PC CurrentSince Sep 7, 1995 Accepting new patients
Lawrence General Hospital Past Accepting new patients

Locations

140 Haverhill St
Andover, MA 01810
Phone (978) 470-1616

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

Interoperability endpoints

  • Direct secure messaging: edwin.radke@aob.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184661761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HAVERHILL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101504",
            "telephone_number": "978-475-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HAVERHILL STREET",
            "address_2": "ANDOVER OB/GYN",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "01810",
            "telephone_number": "978-475-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADKE",
        "first_name": "EDWIN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "81954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.