Individual provider Active NPI

Samuel B. Edelman, D.O.

  • Pediatric Critical Care Medicine Physician
  • Pensacola, FL
National Provider Identifier
1629064134
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
OS15663 Issued in FL
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

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1168602MedicaidLA
003115568BMedicaidGA
154008MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, VA, DC, FL, PA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20031212000178 LA Practitioner - Pediatric Medicine 1759287378 Reassigns benefits to 1 organization
I20170120000164 VA Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 1759287378
I20181228002070 DC Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 1759287378 Reassigns benefits to 1 organization
I20200513002739 FL Practitioner - Critical Care (Intensivists) 1759287378 Reassigns benefits to 2 organizations
I20211006000910 PA Practitioner - Pediatric Medicine 1759287378 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Aug 11, 2021 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 22, 2025 Accepting new patients
The Nemours Foundation Current Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince May 15, 2025 Accepting new patients
MGMC, LLC CurrentSince Dec 1, 2018 Accepting new patients
The Nemours Foundation CurrentSince Mar 8, 2020 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 22, 2025 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 11, 2021 Accepting new patients
Sacred Heart Health System Inc CurrentSince Apr 1, 2024 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince May 15, 2025 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Emergency Medicine CurrentSince Mar 29, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2018 Accepting new patients
The Nemours Foundation CurrentSince Mar 8, 2020 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

  • Direct secure messaging: sedelman286430@upmc.direct-ci.com
  • Direct secure messaging: sedelman4178279@direct.trinity-health.org
  • Direct secure messaging: 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.

View all 18

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

Verify at the official NPI Registry.