Edgard Pedraza, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301034895 Issued in MI

Practice address

1547 S Wayne Rd
Westland, MI 48186-5436

Phone

(734) 405-0176

Fax

(586) 795-5540

NPI assigned

Sep 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Psychiatry

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of MacombGroup PAC ID 4880581404, 81 clinicians

Apex Behavioral Health Dearborn PLLCGroup PAC ID 7911165949, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.67 of 100Reported as group

Quality

99.29

Improvement activities

40

Cost

87.17

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Apex Behavioral Health Dearborn PLLC

  • Psychiatry Physician
  • Dearborn, MI
  • NPI 1467732644
  Medicare reassignment Care Compare group NPD
• County of Macomb

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton TWP, MI
  • NPI 1942532197
  Medicare reassignment Care Compare group
• Southwest Counseling Solutions

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1386756153
  Medicare reassignment NPD
• Apex Behavioral Health,PLLC

  • Social Worker
  • Westland, MI
  • NPI 1821025347
  NPD (past)
• T W Park MD PC

  • Psychiatry Physician
  • Taylor, MI
  • NPI 1275721458
  NPD (past)

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1881881324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 METRO PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104105",
            "telephone_number": "586-795-3232",
            "fax_number": "586-795-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865436",
            "telephone_number": "734-405-0176",
            "fax_number": "586-795-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRAZA",
        "first_name": "EDGARD",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301034895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN LINKED TO APEX BEHAVIORAL HEALTH",
            "identifier": "0N15280004",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4767490",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID FOR APEX BEHAVIORAL HEALTH",
            "identifier": "0N15280",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4308952 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pearle Vision Inc
• Pedi Care Pediatric Clinic PC
• Pediakare
• Pedicare Pediatric Clinic PC
• Ronay Lashawn Peguies
• Patricia Pennymon
• Haley Michelle Perry
• Eugene B Person, O. D.
• Personalized Hearing Care

• Psychiatry Physician in Westland, MI
• Providers in Westland, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.