Individual provider Active NPI

David William Edelstein, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1780763052
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
H9322 Issued in TX
Practice address
2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone
(713) 442-0000
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X H9322 TX
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X H9322 TX Primary

Addresses

Primary practice location

2727 W Holcombe Blvd
Houston, TX 77025-1669

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other practice location 1

3707 Charlestown Rd Ste C1
New Albany, IN 47150-9254
Phone (812) 944-4720

Other practice location 2

1461 N Gardner St
Scottsburg, IN 47170-7751
Phone (812) 282-8494

Other practice location 3

1220 Spring St
Jeffersonville, IN 47130-3704
Phone (812) 282-8494

Other practice location 4

1373 E State Road 62 Ste 2A
Madison, IN 47250-7328
Phone (812) 801-0848

Other practice location 5

130 Hunter Station Way Ste 230
Sellersburg, IN 47172-8930
Phone (812) 282-8494

Other practice location 6

1111 Augusta Dr
Houston, TX 77057-2209
Phone (713) 442-2400

Other identifiers 5

IdentifierTypeStateIssuer
045247607MedicaidTX
045247606MedicaidTX
300117411MedicaidIN
7101082130MedicaidKY
045247604MedicaidTX

Electronic endpoints 4

TypeEndpointUseAffiliation
FHIR URL https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address dedelstein1192@direct.kelsey-seybold.com Direct
Direct Messaging Address dedelstein1192@direct.kelsey-seybold.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, CO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040603000964 TX Practitioner - Orthopedic Surgery 0648252684 Reassigns benefits to 1 organization
I20250815001166 IN Practitioner - Orthopedic Surgery 0648252684 Reassigns benefits to 1 organization
I20250919004195 CO Practitioner - Orthopedic Surgery 0648252684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Minnesota Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1405 S 8TH Ave
Suite 101
Sterling, CO 80751-4560
Phone (970) 522-2264

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Sep 19, 2025 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Sep 19, 2025 Accepting new patients
Community Medical Associates, Inc. Orthopaedic Surgery Past Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients
Ut Physicians Past Accepting new patients
Ut Physicians Past Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1405 S 8th Ave
Ste 101
Sterling, CO 80751
Phone (970) 522-2264

1220 Spring St
Jeffersonvlle, IN 47130
Phone (812) 282-8494

1373 E State Road 62
Ste 2A
Madison, IN 47250
Phone (812) 801-0848

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

3707 Charlestown Rd
Ste C1
New Albany, IN 47150
Phone (812) 944-4720

1461 N Gardner St
Scottsburg, IN 47170
Phone (812) 282-8494

130 Hunter Station Way
Ste 230
Sellersburg, IN 47172
Phone (812) 282-8494

Interoperability endpoints

  • Direct secure messaging: dedelstein1192@direct.kelsey-seybold.com

Organizations & group practices 10

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1780763052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251669",
            "telephone_number": "713-442-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 Charlestown Rd Ste C1",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471509254",
            "country_code": "US",
            "telephone_number": "812-944-4720",
            "fax_number": "812-590-2296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1461 N Gardner St",
            "address_purpose": "LOCATION",
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            "state": "IN",
            "postal_code": "471707751",
            "country_code": "US",
            "telephone_number": "812-282-8494",
            "fax_number": "812-288-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Spring St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303704",
            "country_code": "US",
            "telephone_number": "812-282-8494",
            "fax_number": "812-288-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1373 E State Road 62 Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0848",
            "fax_number": "812-801-0773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Hunter Station Way Ste 230",
            "address_purpose": "LOCATION",
            "city": "Sellersburg",
            "state": "IN",
            "postal_code": "471728930",
            "country_code": "US",
            "telephone_number": "812-282-8494",
            "fax_number": "812-288-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Augusta Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770572209",
            "country_code": "US",
            "telephone_number": "713-442-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H9322",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "H9322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045247607",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045247606",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300117411",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101082130",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045247604",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR endpoint URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 Augusta Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770572209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR endpoint URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2727 W Holcombe Blvd",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770251669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dedelstein1192@direct.kelsey-seybold.com",
            "affiliation": "N",
            "endpointDescription": "digital contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2727 W Holcombe Blvd",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770251669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dedelstein1192@direct.kelsey-seybold.com",
            "affiliation": "N",
            "endpointDescription": "digital contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 Augusta Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770572209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.