Edward Poon, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD2016-0037 Issued in NM

Practice address

3860 Masthead St NE
Albuquerque, NM 87109-4479

Phone

(505) 828-1010

Fax

(505) 796-9051

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NM2 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 2

Specialty

Interventional RadiologyAlso: Interventional Pain Management

Education

Boston University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.poonmd.p3@direct.cvr.nextgenshare.com
• Direct secure messaging: edward.poon.p5@direct.cvr.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pain Consultants & Intervention PC

  dba PCI Vein

  • Vascular & Interventional Radiology Physician
  • Albuquerque, NM
  • NPI 1811341662
  Medicare reassignment NPD Authorized official
• VR Physician for Vein Restoration

  • Vascular Surgery Physician
  • Scarsdale, NY
  • NPI 1700122728
  Medicare reassignment NPD
• Jersey Liberty Radiology, P.C.

  • Diagnostic Radiology Physician
  • Jersey City, NJ
  • NPI 1063653780
  NPD Authorized official
• VR Physician for Vein Restoration

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bronx, NY
  • NPI 1063373009
  NPD
• Associated Radiologist,PA

  • Diagnostic Radiology Physician
  • Derry, NH
  • NPI 1457310765
  NPD (past)
• Center for Vein Restoration CT LLC

  • Vascular Surgery Physician
  • Stamford, CT
  • NPI 1306282926
  NPD (past)
• Diagnostic Medical Consultants

  • Diagnostic Radiology Physician
  • Union, NJ
  • NPI 1427152776
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jefferson Regional Medical Center

  • Clinic/Center
  • Clairton, PA
  • NPI 1366488108

  Hospital

  Care Compare affiliation
• Jefferson Regional Medical Center

  • General Acute Care Hospital
  • Clairton, PA
  • NPI 1578560504
  Care Compare affiliation

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770587115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094479",
            "telephone_number": "505-828-1010",
            "fax_number": "505-796-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094479",
            "telephone_number": "505-828-1010",
            "fax_number": "505-796-9051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11483 Rose Garden Ct",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921314215",
            "country_code": "US",
            "telephone_number": "609-892-8979",
            "fax_number": "858-578-0855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POON",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NM",
            "license": "MD2016-0037",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NM",
            "license": "MD2016-0037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57601062",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Louise Poole, OTR/L
• Julia Joan Poole, CPSW
• Natalie Danielle Poole
• Raquelle B. Poole
• Rebecca J Poole, LISW
• Trisha Poorbaugh, COTA/L
• Frozan Popal
• Danielle Pope, CD(DONA)
• Frances Edwards Frazier Pope, LPCC/LPCS/LCMHC/LAC
• Hadley Rose Pope, MD

• Interventional Pain Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Interventional Pain Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.