Individual provider Active NPI

Aimee Rosann-Peck Edell, M.D.

  • Ophthalmology Physician
  • San Ramon, CA
National Provider Identifier
1740508506
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
136631 Issued in CA
Practice address
5801 Norris Canyon Rd
Suite 200
San Ramon, CA 94583-5440
Phone
(925) 830-8823
NPI assigned
May 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 136631 CA Primary

Addresses

Primary practice location

5801 Norris Canyon Rd
Suite 200
San Ramon, CA 94583-5440

Mailing address

5801 Norris Canyon Rd
Suite 200
San Ramon, CA 94583-5440
Phone (925) 830-8823

Other names 1

  • Dr. Aimee Rosann Peck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150812006582 CA Practitioner - Ophthalmology 1052539426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Geisel School of Medicine at Dartmouth, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Eye Centers Medical CorporationGroup PAC ID 1951290709, 6 clinicians

Practice addresses (Care Compare)

5801 Norris Canyon Rd
Suite 200
San Ramon, CA 94583-5440
Phone (925) 830-8823

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.88 of 100Reported as group
Quality
97.21
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136631CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Eye Centers Medical Corporation Ophthalmology CurrentSince Aug 1, 2015 Accepting new patients

Locations

8440 Brentwood Blvd
Ste D
Brentwood, CA 94513
Phone (925) 634-0303

5801 Norris Canyon Rd
Ste 200
San Ramon, CA 94583
Phone (925) 830-8823

Interoperability endpoints

  • Direct secure messaging: aedell@ebec.intellechartdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1740508506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 NORRIS CANYON RD",
            "address_2": "SUITE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835440",
            "telephone_number": "925-830-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 NORRIS CANYON RD",
            "address_2": "SUITE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835440",
            "telephone_number": "925-830-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELL",
        "first_name": "AIMEE",
        "middle_name": "ROSANN-PECK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "136631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "PECK",
            "middle_name": "ROSANN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.