Individual provider Active NPI

Robert G Edwards, MD

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1467425496
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD018125E Issued in PA
Practice address
1539 Lincoln Ave
Pittsburgh, PA 15206-1220
Phone
(412) 441-4486
NPI assigned
Feb 9, 2006
Last updated
Feb 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD018125E PA Primary

Addresses

Primary practice location

1539 Lincoln Ave
Pittsburgh, PA 15206-1220

Mailing address

1539 Lincoln Ave
Pittsburgh, PA 15206-1220
Phone (412) 441-4486

Other identifiers 1

IdentifierTypeStateIssuer
101821683 0001MedicaidPA

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
I20070209000483 PA Practitioner - General Practice 5395747935

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Pittsburgh School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1539 Lincoln Ave
Pittsburgh, PA 15206-1220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD018125EPAMDSpecialist

Interoperability endpoints

  • Direct secure messaging: robert.edwards@677924529242116.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1467425496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 LINCOLN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061220",
            "telephone_number": "412-441-4486",
            "fax_number": "412-441-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 LINCOLN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061220",
            "telephone_number": "412-441-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD018125E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101821683 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.