Individual provider Active NPI

Steven L Edell, D.O.

  • Diagnostic Radiology Physician
  • Wilmington, DE
National Provider Identifier
1356431480
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C2001719 Issued in DE
Practice address
1601 Milltown Rd
Suite 13
Wilmington, DE 19808-4084
Phone
(302) 993-2330
NPI assigned
Oct 12, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C2001719 DE Primary

Addresses

Primary practice location

1601 Milltown Rd
Suite 13
Wilmington, DE 19808-4084

Mailing address

1601 Milltown Rd
Suite 13
Wilmington, DE 19808-4084
Phone (302) 993-2330

Other identifiers 1

IdentifierTypeStateIssuer
00001109003MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C2001719DEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glasgow Imaging LLC Diagnostic Radiology PastSince Sep 1, 2001 Accepting new patients
MRI of Wilmington LLC Diagnostic Radiology Past Accepting new patients
Pike Creek Imaging Enterprises LLC Diagnostic Radiology PastSince Apr 14, 2009 Accepting new patients
Omega Nuclear LLC Past Accepting new patients
Omega Imaging Associates LLC Diagnostic Radiology Past Accepting new patients
Brandywine Imaging Enterprises LLC Diagnostic Radiology PastSince Jan 1, 2000 Accepting new patients
Delaware Womens Imaging LLC Diagnostic Radiology Past Accepting new patients
Delaware Radiology Associates PA Diagnostic Radiology Past Accepting new patients

Organizations & group practices 8

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1356431480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD",
            "address_2": "SUITE 13",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084084",
            "telephone_number": "302-993-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD",
            "address_2": "SUITE 13",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084084",
            "telephone_number": "302-993-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELL",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C2001719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00001109003",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.