Ildiko Gizella Edenhoffer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J7475 Issued in TX

Practice address

1141 Kinwest Pkwy Ste 150
Irving, TX 75063-3513

Phone

(972) 969-4230

Fax

(972) 409-9016

NPI assigned

Jul 18, 2006

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4822/brand/1/csg/1/fhir/r4

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.

• DHHS PHS Naihs Chinle Comprehensive Health Care Facility

  dba Chinle Comprehensive Health Care Facility

  • General Acute Care Hospital
  • Chinle, AZ
  • NPI 1508800129

  TX

  Medicare reassignment NPD
• Pediatric Diagnostic Services, PA

  dba Kid's Klinic

  • Pediatrics Physician
  • Irving, TX
  • NPI 1063632891

  Specialist

  NPD Authorized official
• Topcare Medical Group Inc

  dba Clinicas Mi Doctor

  • Specialist
  • Dallas, TX
  • NPI 1730337163
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1689692212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 KINWEST PKWY STE 150",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633513",
            "telephone_number": "972-969-4230",
            "fax_number": "972-409-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 KINWEST PKWY STE 150",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633513",
            "telephone_number": "972-969-4230",
            "fax_number": "972-409-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENHOFFER",
        "first_name": "ILDIKO",
        "middle_name": "GIZELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J7475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167970601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167970602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201313607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "J7475",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Texas II - Longview, LP
• Paula Yetunda Ebo, FNP
• Ec Opco Irving, LLC (Elmcroft of Irving)
• Gregory A Echt, MD
• William H Eckert Jr., BCBA
• Edge-MD Holding PLLC (Medico MD)
• Edge-MD Holding PLLC (Medico MD)
• Edgewater Freight Services, LLC (Edgewater Medical Transportation)
• Laura Jean Edmonds, MA, LPC, LCDC
• Educare Community Living Corporation - Texas (All Ways Caring HomeCare)

• Pediatrics Physician in Irving, TX
• Providers in Irving, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.

Verify at the official NPI Registry.