Active NPI
Edward Louis Middleman, M. D.
- Medical Oncology Physician
- Duncanville, TX
National Provider Identifier
1972540623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- D6298
- Practice address
- 310 E Highway 67
Duncanville, TX 75137-4159 - Phone
- (972) 283-2389
- Fax
- (972) 283-2473
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | D6298 | TX | Primary |
Addresses
Primary practice location
310 E Highway 67
Duncanville, TX 75137-4159
Mailing address
310 E Highway 67
Duncanville, TX 75137-4159
Phone (972) 283-2389
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85Z551 | Other | TX | BLUE CROSS BLUE SHIELD |
| 102539701 | Medicaid | TX | |
| 102539703 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kootenai Health, Inc. | Past | Accepting new patients | |
| Mercy Physician Services, LLC | Past | Accepting new patients |
Interoperability endpoints
- emiddleman313212@direct.wvuhsdirect.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Lewiston, ID
- NPI 1205368404
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
-
- Clinic/Center
- Knoxville, TN
- NPI 1336373885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1972540623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E HIGHWAY 67",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751374159",
"telephone_number": "972-283-2389",
"fax_number": "972-283-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E HIGHWAY 67",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751374159",
"telephone_number": "972-283-2389",
"fax_number": "972-283-2473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLEMAN",
"first_name": "EDWARD",
"middle_name": "LOUIS",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "D6298",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "85Z551",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102539701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102539703",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duncanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.