Active NPI
Kristin W Edwards, MD
- Diagnostic Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD422743
- Practice address
- 5501 Old York Rd
Philadelphia, PA 19141-3018 - Phone
- (215) 456-7890
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD422743 | PA | Primary |
Addresses
Primary practice location
5501 Old York Rd
Philadelphia, PA 19141-3018
Mailing address
5501 Old York Road
Levy Ground FL
Philadelphia, PA 19141-3018
Phone (215) 456-6200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kristin.Edwards@direct.einstein.edu | Direct |
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
- Diagnostic Radiology
- Education
- Temple University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5501 Old York Rd Levy Ground FL
Philadelphia, PA 19141-3092
Phone (215) 456-8284
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Diagnostic Radiology | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Health Services of Fox Chase Cancer Center | Past | Accepting new patients | |
| Health Services of Fox Chase Cancer Center | Past | Accepting new patients | |
| Philadelphia Cosmetic Surgery Center | Past | Accepting new patients |
Locations
333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
Interoperability endpoints
- kristin.edwards@direct.einstein.edu
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1396703955
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1144338351
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1568564821
-
- Plastic Surgery Physician
- Bala Cynwyd, PA
- NPI 1437383973
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
- General Acute Care Hospital
- East Norriton, PA
- NPI 1104192590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1265475180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 OLD YORK ROAD",
"address_2": "LEVY GROUND FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413018",
"telephone_number": "215-456-6200",
"fax_number": "215-456-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 OLD YORK RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413018",
"telephone_number": "215-456-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KRISTIN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD422743",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kristin.Edwards@direct.einstein.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5501 Old York Rd",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191413018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.