Individual provider Active NPI

Robert Edward Edelman, M.D.

  • Ophthalmology Physician
  • Bradenton, FL
National Provider Identifier
1790783553
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0062187 Issued in FL
Practice address
217 Manatee Ave E
Bradenton, FL 34208-1931
Phone
(941) 748-1818
Fax
(941) 746-1055
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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 ME0062187 FL Primary

Addresses

Primary practice location

217 Manatee Ave E
Bradenton, FL 34208-1931

Mailing address

217 Manatee Ave E
Bradenton, FL 34208-1931
Phone (941) 748-1818

Other identifiers 1

IdentifierTypeStateIssuer
371085800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100623000318 FL Practitioner - Ophthalmology 8325000896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Sarasota Eye Clinic PAGroup PAC ID 2466414925, 10 clinicians

Practice addresses (Care Compare)

217 Manatee Ave E
Bradenton, FL 34208-1931
Phone (941) 748-1818

Merit-based Incentive Payment System (MIPS)

Final score
96.49 of 100Reported as individual
Quality
92.98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0062187FLMDOphthalmology Physician
62187FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Sarasota Eye Clinic PA Ophthalmology CurrentSince Jul 1, 1994 Accepting new patients

Locations

217 Manatee Ave E
Bradenton, FL 34208
Phone (941) 748-1818

6310 Health Park Way
Ste 340
Lakewood Ranch, FL 34202
Phone (914) 748-1818

1515 Sun City Center Plz
Sun City Center, FL 33573
Phone (813) 633-3065

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1790783553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081931",
            "telephone_number": "941-748-1818",
            "fax_number": "941-746-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081931",
            "telephone_number": "941-748-1818",
            "fax_number": "941-746-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0062187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371085800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.