Teresa Michelle Edwards, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

125.056034 Issued in IL

Practice address

2160 S 1St Ave
Maywood, IL 60153-3328

Phone

(708) 216-1084

NPI assigned

Oct 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians

Jersey Shore Imaging LLCGroup PAC ID 1355408212, 148 clinicians

Main Street Radiology at Bayside LLCGroup PAC ID 5395732671, 56 clinicians

Radiology Associates of Main Street PCGroup PAC ID 5799677522, 52 clinicians

University Radiology at Trinitas LLCGroup PAC ID 9133174634, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055
• Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074
• Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027

Merit-based Incentive Payment System (MIPS)

Final score

89.93 of 100Reported as group

Quality

95.96

Improvement activities

40

Cost

73.85

Merit-based Incentive Payment System (MIPS)

Final score

96.51 of 100Reported as group

Quality

95.9

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.28 of 100Reported as group

Quality

86.64

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Jersey Shore Imaging, LLC

  • Diagnostic Radiology Physician
  • Neptune, NJ
  • NPI 1538304019
  Medicare reassignment Care Compare group NPD
• Main Street Radiology at Bayside LLC

  • Diagnostic Radiology Physician
  • Flushing, NY
  • NPI 1780771634
  Medicare reassignment Care Compare group NPD
• Radiology Associates of Main Street PC

  • Diagnostic Radiology Physician
  • Flushing, NY
  • NPI 1265529101
  Medicare reassignment Care Compare group NPD
• University Radiology at Trinitas, LLC

  • Radiology Clinic/Center
  • Elizabeth, NJ
  • NPI 1366526279

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• University Radiology Group, LLC

  • Diagnostic Radiology Physician
  • East Brunswick, NJ
  • NPI 1154367803
  Medicare reassignment Care Compare group
• Rwjuh Imaging at Plum Street, LLC

  • Diagnostic Radiology Physician
  • New Brunswick, NJ
  • NPI 1710131677
  Medicare reassignment NPD
• Sunset Park Radiology PC

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1629713672
  Medicare reassignment NPD
• The New Jersey Imaging Network, LLC

  • Radiology Clinic/Center
  • Cedar Knolls, NJ
  • NPI 1629327887
  Medicare reassignment NPD
• University Radiology-Atlantic, LLC

  • Diagnostic Radiology Physician
  • Tinton Falls, NJ
  • NPI 1477802064
  Medicare reassignment NPD
• Main Street Radiology at Bayside LLC

  • Diagnostic Radiology Physician
  • Flushing, NY
  • NPI 1942397880
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jersey City Medical Center

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1689744856
  Care Compare affiliation
• Jersey City Medical Center

  • Ambulance
  • Jersey City, NJ
  • NPI 1871738021

  Hospital

  Care Compare affiliation
• New York Hospital Queens Ambulance

  • Land Ambulance
  • Flushing, NY
  • NPI 1295857092

  Hospital

  Care Compare affiliation
• New York-Presbyterian-Queens

  • Clinical Medical Laboratory
  • Flushing, NY
  • NPI 1053429274

  Hospital

  Care Compare affiliation
• Newyork-Presbyterian-Queens

  • Skilled Nursing Facility
  • Flushing, NY
  • NPI 1689958779

  Hospital

  Care Compare affiliation
• Newyork-Presbyterian-Queens

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1952347205
  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1134129802
  Care Compare affiliation
• Trinitas Regional Medical Center

  • Specialist
  • Elizabeth, NJ
  • NPI 1487697785

  Hospital

  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1770583999
  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1790785913
  Care Compare affiliation

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

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1265768709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "address_2": "UNIT 2502",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TERESA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-18",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125.056034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Lee Eden, M.D.
• Sabrina Kelly Edlbauer, AGACNP
• Anamaria Danielle Edwards, PA-C
• Monica Rose Edwards, M.D., M.P.H.
• Sara Jane Edwards, APN-CNP
• Zachary R Ehling
• Braxton Ehnert, DO
• Moiz Ehtesham, MD
• Carlo Eikani, MD
• David Eke

• Diagnostic Radiology Physician in Maywood, IL
• Providers in Maywood, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.

Verify at the official NPI Registry.