Edward Christopher Dewald, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA059112 Issued in PA

Practice address

3300 Tillman Dr
Bensalem, PA 19020-2071

Phone

(215) 244-7400

NPI assigned

Jun 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reconstructive Orthopaedic Associates II LLCGroup PAC ID 7416845318, 274 clinicians

Rothman Orthopaedics of New Jersey, LLCGroup PAC ID 6709864846, 175 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rothman Orthopaedic Specialty Hospital Hospital, Bensalem, PA, CCN 390322
• Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

Merit-based Incentive Payment System (MIPS)

Final score

92.57 of 100Reported as group

Quality

86.68

Promoting interoperability

99

Improvement activities

40

Cost

89.37

Merit-based Incentive Payment System (MIPS)

Final score

88.32 of 100Reported as group

Quality

79.04

Promoting interoperability

99

Improvement activities

40

Cost

82.85

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.dewald@rot.eclinicaldirectplus.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.

• Reconstructive Orthopaedic Associates II LLC

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1861433278
  Medicare reassignment Care Compare group NPD
• Rothman Orthopaedics of New Jersey, LLC

  • Orthopaedic Surgery Physician
  • Marlton, NJ
  • NPI 1215978630
  Medicare reassignment Care Compare group NPD
• Reconstructive Orthopaedic Associates II LLC

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
  • NPI 1497571830

  Orthopaedic Surgery

  NPD
• Rothman Institute of New Jersey, P.a.

  • Prosthetic/Orthotic Supplier
  • Manahawkin, NJ
  • NPI 1831611243
  NPD

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

• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Rothman Orthopaedic Specialty Hospital, LLC

  • General Acute Care Hospital
  • Bensalem, PA
  • NPI 1336378132
  Care Compare affiliation
• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation
• Thomas Jefferson University Hospitals Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1215916002
  Care Compare affiliation
• Trustees of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1902335995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "484-214-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TILLMAN DR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202071",
            "telephone_number": "215-244-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALD",
        "first_name": "EDWARD",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00465000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deveaux Group
• Brandi Nicole Deveaux, OTR/L, CLT
• Kathryn J. Devinney, PT
• Laurence J Devinney, DPT
• Maggie Devito
• Peter C Diana, D.C
• Dicesare Family Chiropractic, P.C.
• Kimberly Ann Dicesare, D.C.
• Patricia Lippert Diehl, CRNP
• Eileen Rose Digregorio, D.O.

• Physician Assistant in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.