Active NPI
Samuel B. Edelman, D.O.
- Pediatric Critical Care Medicine Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- OS15663
- Practice address
- 5151 N 9TH Ave
Pensacola, FL 32504-8721 - Phone
- (850) 416-4970
- NPI assigned
- Sep 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | OS15663 | FL | Primary |
| Emergency Medicine Physician | 207P00000X | OS008325L | PA |
Addresses
Primary practice location
5151 N 9TH Ave
Pensacola, FL 32504-8721
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063
Other practice location 1
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1168602 | Medicaid | LA | |
| 003115568B | Medicaid | GA | |
| 154008 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, VA, DC, FL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| The Nemours Foundation | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| MGMC, LLC | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Emergency Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Upmc Pinnacle Hospitals | Past | Accepting new patients | |
| Childrens Acute Care Inc | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000
5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188
8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
3 Walnut St
Ste 205
Lemoyne, PA 17043
Phone (717) 909-0520
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
Interoperability endpoints
- sedelman286430@upmc.direct-ci.com
- sedelman4178279@direct.trinity-health.org
- sedelman889846@ahs.direct-ci.com
Organizations & group practices 18
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.
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Emergency Medicine Physician
- West Grove, PA
- NPI 1902690852
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Emergency Medicine
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1316824667
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1629064134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-450-6063",
"fax_number": "904-539-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 N 9TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048721",
"telephone_number": "850-416-4970"
}
],
"practiceLocations": [
{
"address_1": "1201 Langhorne Newtown Rd",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190471201",
"country_code": "US",
"telephone_number": "215-710-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDELMAN",
"first_name": "SAMUEL",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "OS15663",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS008325L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1168602",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003115568B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154008",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.