NPIMap

Individual provider Active NPI

Edgard Ivan Gonzalez Feldman, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bellingham, WA
National Provider Identifier
1477525202
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD60601398 Issued in WA
Practice address
4465 Cordata Pkwy Ste B
Bellingham, WA 98226-8037
Phone
(360) 752-5206
Fax
(360) 752-5653
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD223105 OR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X N9863 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD60601398 WA Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 86429 SC
Internal Medicine Physician 207R00000X MD60601398 WA
Internal Medicine Physician 207R00000X N9863 TX

Addresses

Primary practice location

4465 Cordata Pkwy Ste B
Bellingham, WA 98226-8037

Mailing address

1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1412

Other practice location 1

10101 SE Main St Ste 2011
Portland, OR 97216-2457
Phone (503) 255-3404

Other practice location 2

5920 Saratoga Blvd Ste 520
Corpus Christi, TX 78414-4294
Phone (361) 696-6280

Other practice location 3

2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone (713) 442-0000

Other practice location 4

877 W Faris Rd Ste D
Greenville, SC 29605-4296
Phone (864) 455-9031

Other identifiers 3

IdentifierTypeStateIssuer
306610206MedicaidTX
1477525202MedicaidWA
864292MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address egonzalezfeldma19840@direct.kelsey-seybold.com Direct
FHIR URL https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA, OH, WA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120821000477 TX Practitioner - Internal MedicinePractitioner - Endocrinology 0345285557 Reassigns benefits to 2 organizations
Practice locations: Houston, TX
I20181107000079 PA Practitioner - Endocrinology 0345285557 Reassigns benefits to 2 organizations
I20200410001293 OH Practitioner - Endocrinology 0345285557 Reassigns benefits to 2 organizations
I20200504001025 WA Practitioner - Endocrinology 0345285557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1100 Grampian Blvd
Williamsport, PA 17701-1909
Phone (570) 320-7848

5920 Saratoga Blvd
Suite 395
Corpus Christi, TX 78414-4137
Phone (361) 737-0600

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
  • Upmc Muncy Hospital, Muncy, PA, CCN 391301
  • Upmc Wellsboro Hospital, Wellsboro, PA, CCN 391316

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
The Metrohealth System Current Accepting new patients
Susquehanna Physician Services CurrentSince Jan 6, 2025 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Adena Medical Group LLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Kelsey-Seybold Medical Group, PLLC Internal Medicine CurrentSince Nov 16, 2015 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Mar 30, 2020 Accepting new patients
The Metrohealth System Internal Medicine CurrentSince Jan 31, 2024 Accepting new patients
The Metrohealth System CurrentSince Jan 31, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Sep 17, 2018 Accepting new patients
Tower Health Medical Group CurrentSince Sep 17, 2018 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Mar 30, 2020 Accepting new patients
Susquehanna Physician Services Endocrinology, Diabetes & Metabolism CurrentSince Jan 6, 2025 Accepting new patients
Cardiology Clinic of Muskogee, Inc. Internal Medicine Past Accepting new patients
Susquehanna Physician Services Past Accepting new patients
TMH Physician Associates PLLC Internal Medicine Past Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

1991 State Hill Rd
Wyomissing, PA 19610
Phone (484) 628-4270

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

Interoperability endpoints

  • Direct secure messaging: egonzalezfeldman267389@direct.metrohealth.org
  • Direct secure messaging: egonzalezfeldman538321@upmc.direct-ci.com
  • Direct secure messaging: egonzalezfeldma19840@direct.kelsey-seybold.com
  • FHIR API: https://api.platform.athenahealth.com/3442/brand/1/csg/61/fhir/r4

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1477525202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1412",
            "fax_number": "360-729-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 CORDATA PKWY STE B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268037",
            "telephone_number": "360-752-5206",
            "fax_number": "360-752-5653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 SE Main St Ste 2011",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162457",
            "country_code": "US",
            "telephone_number": "503-255-3404",
            "fax_number": "503-255-4750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5920 Saratoga Blvd Ste 520",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144294",
            "country_code": "US",
            "telephone_number": "361-696-6280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 W Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251669",
            "country_code": "US",
            "telephone_number": "713-442-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "877 W Faris Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054296",
            "country_code": "US",
            "telephone_number": "864-455-9031",
            "fax_number": "864-455-9014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ FELDMAN",
        "first_name": "EDGARD",
        "middle_name": "IVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "MD223105",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "N9863",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WA",
            "license": "MD60601398",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "86429",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60601398",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9863",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306610206",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477525202",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "864292",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egonzalezfeldma19840@direct.kelsey-seybold.com",
            "affiliation": "N",
            "endpointDescription": "digital contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2727 W Holcombe Blvd",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770251669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR endpoint URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2727 W Holcombe Blvd",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770251669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.