Individual provider Active NPI

Edith Mutheu Edwards, M.D

  • Internal Medicine Physician
  • Lebanon, OR
National Provider Identifier
1972879864
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD219562 Issued in OR
Practice address
325 Park St
Lebanon, OR 97355-4229
Phone
(541) 451-7200
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D80424 MD
Hospitalist Physician 208M00000X D80424 MD
Internal Medicine Physician 207R00000X MD219562 OR Primary

Addresses

Primary practice location

325 Park St
Lebanon, OR 97355-4229

Mailing address

325 Park St
Lebanon, OR 97355-4229
Phone (541) 451-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emuthungu306257@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160331000190 MD Practitioner - Internal Medicine 7113178906 Reassigns benefits to 4 organizations
I20160628000096 DC Practitioner - Internal Medicine 7113178906 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD219562ORMDInternal Medicine Physician
D80424MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Aug 7, 2017 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Oct 29, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 29, 2019 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Mar 25, 2022 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC Internal Medicine CurrentSince Jun 21, 2020 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Aug 7, 2017 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Aug 7, 2017 Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Edencare 360 Internal Medicine CurrentSince Jun 8, 2025 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Mar 25, 2022 Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

600 N Wolfe St
Baltimore, MD 21287

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • Direct secure messaging: edith.edwards@1049054788648964.direct.elationemr.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1972879864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 PARK ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554229",
            "telephone_number": "541-451-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PARK ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554229",
            "telephone_number": "541-451-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "EDITH",
        "middle_name": "MUTHEU",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D80424",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D80424",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD219562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emuthungu306257@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "325 Park St",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973554229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

Verify at the official NPI Registry.