Individual provider Active NPI

Oliver L Edwards, MD

  • Nuclear Radiology Physician
  • El Paso, TX
National Provider Identifier
1871796508
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
R2584 Issued in TX
Practice address
4815 Alameda Ave
El Paso, TX 79905-2705
Phone
(915) 215-6000
NPI assigned
Jun 8, 2007
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X R2584 TX Primary
Diagnostic Radiology Physician 2085R0202X DR.0069593 CO
General Practice Physician 208D00000X 01065944A IN

Addresses

Primary practice location

4815 Alameda Ave
El Paso, TX 79905-2705

Mailing address

3902 Basswood Dr
Alamogordo, NM 88310-8267
Phone (575) 437-8528

Other practice location 1

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-5000

Other practice location 2

280 1st St
Holloman AFB, NM 88330-8273
Phone (575) 572-7985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, 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
I20170728000630 TX Practitioner - Diagnostic Radiology 1658503198 Reassigns benefits to 4 organizations
I20190305001292 NM Practitioner - Diagnostic Radiology 1658503198 Reassigns benefits to 2 organizations
I20230222002762 CO Practitioner - Diagnostic Radiology 1658503198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging Consultants PCGroup PAC ID 1850298647, 45 clinicians
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians

Practice addresses (Care Compare)

19021 US Hwy 285
La Jara, CO 81140-9410
Phone (719) 274-5121

5313 Lottie LN
El Paso, TX 79932-3037
Phone (719) 591-2745

5818 N Nevada Ave
Suite 100
Colorado Springs, CO 80918-3505
Phone (719) 365-7480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
43.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2584TXMDNuclear Radiology Physician
01065944AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jan 3, 2023 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center CurrentSince Aug 1, 2017 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients
Uchealth Imaging Services LLC CurrentSince Jan 3, 2023 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Aug 1, 2017 Accepting new patients
Advanced Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Radiology & Imaging Consultants PC Diagnostic Radiology CurrentSince Sep 21, 2022 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Radiology Associates of Albuquerque, PA Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Advanced Imaging LLC Past Accepting new patients

Locations (25 of 28)

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000

1370 Interquest Pkwy
Ste 100
Colorado Springs, CO 80921

1370 Interquest Pkwy
Ste 110
Colorado Springs, CO 80921
Phone (719) 364-6600

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

175 S Union Blvd
Colorado Springs, CO 80910
Phone (719) 305-8000

3843 Rio Vista Dr
Ste 1100
Colorado Springs, CO 80917
Phone (719) 364-4903

9480 Briar Village Pt
Ste 200
Colorado Springs, CO 80920
Phone (719) 278-3627

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

7890 Fountain Mesa Rd
Fountain, CO 80817
Phone (719) 390-2680

9475 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 470-4061

19021 US Highway 285
La Jara, CO 81140
Phone (719) 274-5121

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

11605 Meridian Market Vw
Ste 184
Peyton, CO 80831
Phone (719) 364-9555

13631 Colorado Blvd
Thornton, CO 80602
Phone (303) 252-2960

16420 W US Highway 24
Woodland Park, CO 80863
Phone (719) 632-5020

8200 E 34th Street Cir N
Ste 1404
Wichita, KS 67226

4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800

2400 Unser Blvd SE
Ste 28200
Rio Rancho, NM 87124
Phone (505) 370-9600

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1871796508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 BASSWOOD DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108267",
            "telephone_number": "575-437-8528",
            "fax_number": "575-572-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "915-215-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Boulder St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-365-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 1st St",
            "address_purpose": "LOCATION",
            "city": "Holloman AFB",
            "state": "NM",
            "postal_code": "883308273",
            "country_code": "US",
            "telephone_number": "575-572-7985",
            "fax_number": "575-572-3182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "OLIVER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "TX",
            "license": "R2584",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0069593",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01065944A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.