Individual provider Active NPI

Norman L Edelstein, M.D.

  • Ophthalmology Physician
  • Monroeville, PA
National Provider Identifier
1275539926
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD012372E Issued in PA
Practice address
338 Red Oak CT
Monroeville, PA 15146-3100
Phone
(412) 855-9626
Fax
(412) 373-6825
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 MD012372E PA Primary

Addresses

Primary practice location

338 Red Oak CT
Monroeville, PA 15146-3100

Mailing address

338 Red Oak CT
Monroeville, PA 15146-3100
Phone (412) 855-9626

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
I20150701002230 PA Order and Referring Only - OphthalmologyPractitioner - Ophthalmology 7618061748

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD012372EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman L. Edelstein, M.D., P.C. Ophthalmology PastSince Sep 21, 1977 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1275539926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 RED OAK CT",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463100",
            "telephone_number": "412-855-9626",
            "fax_number": "412-373-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 RED OAK CT",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463100",
            "telephone_number": "412-855-9626",
            "fax_number": "412-373-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "NORMAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD012372E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.