Individual provider Active NPI

Richard Albert Edwards Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Batavia, NY
National Provider Identifier
1336203967
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
216110-1 Issued in NY
Practice address
215 Summit St
Batavia, NY 14020-1649
Phone
(585) 344-4700
Fax
(585) 345-4191
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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 216110-1 NY Primary

Addresses

Primary practice location

215 Summit St
Batavia, NY 14020-1649

Mailing address

215 Summit St
Batavia, NY 14020-1649
Phone (585) 344-4700

Other identifiers 17

IdentifierTypeStateIssuer
00025117002OtherNYUNIVERA
02147804MedicaidNY
060059577OtherNYRR MEDICARE
030441930OtherNYUNITED HEALTH CARE
030441930OtherNYNORTH AMERICA
0298063OtherNYGHI
030441930OtherNYMAGNA
10600580OtherNYFIDELIS
P020216110OtherNYBLUECROSS BLUESHIELD ROCH
030441930OtherNYCOMMERICAL INSURANCE
000526067002OtherNYBLUECROSS BLUESHIELD WNY
105570CKOtherNYPREFERRED CARE
030441930OtherNYTRICARE
030441930OtherNYAETNA
030441930OtherNYNOVA
0711027OtherNYIHA
P010216110OtherNYBLUE CHOICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address redwards@ummc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060220000231 NY Practitioner - Obstetrics/Gynecology 0143235648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216110-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center Obstetrics & Gynecology CurrentSince Jul 28, 2011 Accepting new patients
Western New York Medical Practice PC Obstetrics & Gynecology CurrentSince Oct 15, 2020 Accepting new patients
United Memorial Medical Center CurrentSince Jul 28, 2011 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Oct 15, 2020 Accepting new patients
Edwards and Sisam LLC Obstetrics & Gynecology PastSince Feb 20, 2006 Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

127 North St
Batavia, NY 14020
Phone (585) 267-7510

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1336203967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SUMMIT ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201649",
            "telephone_number": "585-344-4700",
            "fax_number": "585-345-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SUMMIT ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201649",
            "telephone_number": "585-344-4700",
            "fax_number": "585-345-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RICHARD",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "216110-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025117002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02147804",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060059577",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "030441930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICA",
            "identifier": "030441930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0298063",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNA",
            "identifier": "030441930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "10600580",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD ROCH",
            "identifier": "P020216110",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL INSURANCE",
            "identifier": "030441930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD WNY",
            "identifier": "000526067002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "105570CK",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "030441930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "030441930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "030441930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0711027",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010216110",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "redwards@ummc.org",
            "affiliation": "N",
            "address_1": "215 Summit St",
            "city": "Batavia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140201649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.