Individual provider Active NPI

Mark H. Edelman, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
National Provider Identifier
1669483483
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
H6186 Issued in TX
Practice address
9055 Katy Fwy
Suite 304
Houston, TX 77024-1624
Phone
(713) 365-9990
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X H6186 TX Primary

Addresses

Primary practice location

9055 Katy Fwy
Suite 304
Houston, TX 77024-1624

Mailing address

9055 Katy Fwy
Suite 304
Houston, TX 77024-1624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Baylor College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9055 Katy Fwy
Suite 200
Houston, TX 77024-1624

9055 Katy Fwy
Suite 200
Houston, TX 77024-1629

9055 Katy Fwy
Suite 304
Houston, TX 77024

9235 Katy Fwy
Suite 400
Houston, TX 77024-1507

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue76
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116186TXMDLicensed Vocational Nurse
H6186TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P CurrentSince May 1, 2020 Accepting new patients
Villagemd of Southeast Texas, PA CurrentSince May 1, 2020 Accepting new patients

Locations

9055 Katy Fwy
Ste 3
Houston, TX 77024
Phone (713) 365-9990

16001 Park Ten Pl
Houston, TX 77084
Phone (713) 407-3000

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

9055 Katy Fwy
Ste 306
Houston, TX 77024
Phone (713) 464-9999

9055 Katy Fwy
Ste 304
Houston, TX 77024
Phone (713) 365-9990

Interoperability endpoints

  • Direct secure messaging: mark.edelman.1@13711.direct.athenahealth.com

Organizations & group practices 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1669483483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY",
            "address_2": "SUITE 304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY",
            "address_2": "SUITE 304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241624",
            "telephone_number": "713-365-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "MARK",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "H6186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.