Active NPI
Richard Henry Edelson, M.D.
- Specialist
- Tigard, OR
National Provider Identifier
1548267263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD18941
- Practice address
- 7300 SW Childs Rd
Tigard, OR 97224-7713 - Phone
- (503) 692-8700
- Fax
- (503) 692-8710
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD18941 | OR | Primary |
Addresses
Primary practice location
7300 SW Childs Rd
Tigard, OR 97224-7713
Mailing address
7300 SW Childs Rd
Tigard, OR 97224-7713
Phone (503) 692-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Oregon Health Sciences University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29345 SW Town Ctr Loop E
Suite 211
Wilsonville, OR 97070-8486
Phone (503) 692-8700
7300 SW Childs Rd
Suite B
Tigard, OR 97224-7772
Phone (503) 692-8700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD18941 | OR | MD | Specialist |
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": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1548267263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 SW CHILDS RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247713",
"telephone_number": "503-692-8700",
"fax_number": "503-692-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 SW CHILDS RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247713",
"telephone_number": "503-692-8700",
"fax_number": "503-692-8710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELSON",
"first_name": "RICHARD",
"middle_name": "HENRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "MD18941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.