Active NPI
Edward J. Picardi, M.D., F.A.C.S.
- Surgery Physician
- Steubenville, OH
National Provider Identifier
1992886097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35.050753
- Practice address
- 4000 Johnson Rd FL 2
Steubenville, OH 43952-2364 - Phone
- (740) 266-5956
- Fax
- (740) 266-5957
- NPI assigned
- Oct 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2822 | SD | |
| Surgery Physician | 208600000X | 35.050753 | OH | Primary |
Addresses
Primary practice location
4000 Johnson Rd FL 2
Steubenville, OH 43952-2364
Mailing address
101 E Minnesota St
Suite 220
Rapid City, SD 57701-7756
Phone (605) 342-5573
Other practice location 1
101 E Minnesota St
suite 220
Rapid City, SD 57701-7756
Phone (605) 342-5573
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301243 | Medicaid | SD | |
| 0005993 | Other | SD | BLUE CROSS BLUE SHIELD |
| 0392398 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200513002906 | OH | Practitioner - General Surgery | 2466347828 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 73.74 of 100
- Quality
- 48.02
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 71.96
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.050753 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1992886097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E MINNESOTA ST",
"address_2": "SUITE 220",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017756",
"telephone_number": "605-342-5573",
"fax_number": "605-341-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 JOHNSON RD FL 2",
"city": "STEUBENVILLE",
"state": "OH",
"postal_code": "439522364",
"telephone_number": "740-266-5956",
"fax_number": "740-266-5957"
}
],
"practiceLocations": [
{
"address_1": "101 E Minnesota St",
"address_2": "suite 220",
"address_purpose": "LOCATION",
"city": "Rapid City",
"state": "SD",
"postal_code": "577017756",
"country_code": "US",
"telephone_number": "605-342-5573",
"fax_number": "605-341-2161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICARDI",
"first_name": "EDWARD",
"middle_name": "J.",
"credential": "M.D., F.A.C.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SD",
"license": "2822",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.050753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301243",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0005993",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0392398",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Steubenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.