Individual provider Active NPI

Willarda Virginia Edwards, M.D., M.B.A.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1811948938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0021696 Issued in MD
Practice address
1005 N Point Blvd
Suite 724
Baltimore, MD 21224-3415
Phone
(410) 284-5210
Fax
(410) 282-5062
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0021696 MD Primary

Addresses

Primary practice location

1005 N Point Blvd
Suite 724
Baltimore, MD 21224-3415

Mailing address

1005 N Point Blvd
Suite 724
Baltimore, MD 21224-3415
Phone (410) 284-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20070625000685 MD Practitioner - Internal Medicine 0042319576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Edwards and Stephens LTDGroup PAC ID 2961501499, 2 clinicians

Practice addresses (Care Compare)

1005 N Point Blvd
Suite 724
Baltimore, MD 21224-3473
Phone (410) 284-5210

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811948938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N POINT BLVD",
            "address_2": "SUITE 724",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243415",
            "telephone_number": "410-284-5210",
            "fax_number": "410-282-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N POINT BLVD",
            "address_2": "SUITE 724",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243415",
            "telephone_number": "410-284-5210",
            "fax_number": "410-282-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "WILLARDA",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0021696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.