NPIMap

Individual provider Active NPI

Edson L. Knapp, M.D.

  • Diagnostic Radiology Physician
  • Homer, AK
National Provider Identifier
1609854173
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
103509 Issued in AK
Practice address
4300 Bartlett St
Homer, AK 99603-7005
Phone
(907) 235-0326
Fax
(907) 235-0253
NPI assigned
Jan 5, 2006
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 47265 TN
Diagnostic Radiology Physician 2085R0202X 0101238749 VA
Diagnostic Radiology Physician 2085R0202X 103509 AK Primary

Addresses

Primary practice location

4300 Bartlett St
Homer, AK 99603-7005

Mailing address

4300 Bartlett St
Homer, AK 99603-7005
Phone (907) 235-0326

Other practice location 1

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100

Other identifiers 4

IdentifierTypeStateIssuer
3810004714MedicaidWV
P00274027OtherRAILROAD MEDICARE
010216958MedicaidVA
185560OtherVAANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, ME, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160825002426 AK Practitioner - Diagnostic Radiology 2769456979 Reassigns benefits to 8 organizations
I20250522003463 ME Practitioner - Diagnostic Radiology 2769456979 Reassigns benefits to 2 organizations
I20250919003956 MT Practitioner - Diagnostic Radiology 2769456979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Houlton Regional HospitalGroup PAC ID 0042127946, shared by 5 NPIs, 59 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

Homer, AK 99603
Phone (888) 909-7572

20 Hartford St
Houlton, ME 04730-1859

39895 Fernwood Dr
Homer, AK 99603-9543
Phone (952) 595-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince May 1, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Aug 18, 2025 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Feb 26, 2016 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Feb 26, 2016 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Jan 5, 2026 Accepting new patients
Sidney Health Center CurrentSince Jul 1, 2025 Accepting new patients
Houlton Regional Hospital CurrentSince May 1, 2025 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Jan 5, 2026 Accepting new patients
Sidney Health Center CurrentSince Jul 1, 2025 Accepting new patients
Houlton Regional Hospital Current Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Apr 23, 2025 Accepting new patients
Englewood Radiologic Group P a Diagnostic Radiology CurrentSince Dec 24, 2025 Accepting new patients
Vision Radiology PC Diagnostic Radiology CurrentSince Sep 15, 2005 Accepting new patients
South Peninsula Hospital, Inc. Diagnostic Radiology CurrentSince Jul 2, 2016 Accepting new patients
Central Montana Medical Facilities, Inc Current Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Aug 18, 2025 Accepting new patients
Diagnostic Imaging Associates Diagnostic Radiology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Blue Ridge Radiology, P.C. Diagnostic Radiology Past Accepting new patients

Locations

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

2949 W FRNT St
Richlands, VA 24641
Phone (540) 596-6000

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Peninsula Hospital IncHomer, AK, CCN 021313 Hospital Corporate Director Mar 1, 2020
South Peninsula Hospital IncHomer, AK, CCN 02Z313 Hospital Corporate Director Mar 1, 2020
South Peninsula Hospital IncHomer, AK, CCN 025031 Skilled nursing facility Corporate Director Mar 1, 2020
South Peninsula Hospital Home HealthHomer, AK, CCN 027010 Home health agency Corporate Director Mar 1, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 8

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1609854173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037005",
            "telephone_number": "907-235-0326",
            "fax_number": "907-235-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BARTLETT ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037005",
            "telephone_number": "907-235-0326",
            "fax_number": "907-235-0253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Minnesota Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554357915",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "EDSON",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "47265",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101238749",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "103509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004714",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00274027",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010216958",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "185560",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

Verify at the official NPI Registry.