Joseph Patrick Edralin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J1454 Issued in TX

Practice address

4800 W Panther Creek Dr
Ste 100
The Woodlands, TX 77381-2563

Phone

(281) 364-8600

Fax

(281) 298-2005

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.edralinmd.p76@direct.mednax.nextgenshare.com
• Direct secure messaging: joseph.edralinmd.p104@direct.mednax.nextgenshare.com

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.

• Pediatrix Medical Group of Texas Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
  • NPI 1649377359

  Pediatrics

  Medicare reassignment NPD
• Step Pediatrics, PA

  • Pediatrics Physician
  • The Woodlands, TX
  • NPI 1346465960
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821028655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W PANTHER CREEK DR",
            "address_2": "STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812563",
            "telephone_number": "281-364-8600",
            "fax_number": "281-298-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W PANTHER CREEK DR",
            "address_2": "STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812563",
            "telephone_number": "281-364-8600",
            "fax_number": "281-298-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDRALIN",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J1454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Texas Clinical Services, Inc
• Terry Ann Eavenson, LMRT
• Ebf Eye Pro, LLC
• Deborah Jean Eckert, O.T.
• Mary Edgerly
• Eduardo a Mejia, DDS, PA
• Eduardo E Chang MD Professional Association
• Deborah Simone Edwards
• Joseph Edwards
• Abby Eftink, RBT

• Pediatrics Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.