DR. EDWARD RANDOLPH NOBLE JR. M.D.
NPI 1063404820
Radiology - Neuroradiology in Liverpool, NY

Active since August 18, 2005PECOS Enrolled
98.36/100
CMS Quality Rating
5100 W TAFT RD, SUITE 2A, LIVERPOOL, NY 13088(315) 452-2555(315) 452-2559 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edward Randolph Noble Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD RANDOLPH NOBLE JR. M.D. (NPI 1063404820) is an individual neuroradiology provider in Liverpool, New York, licensed in New York (199779) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063404820
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameDR. EDWARD RANDOLPH NOBLE JR.Credential: M.D.
Location Address5100 W TAFT RD, SUITE 2ALiverpool, NY 13088-3807
Mailing Address4567 Crossroads Park Dr, 2nd FloorLiverpool, NY 13088-3589 · (315) 295-2100 · Fax (315) 295-2125
Fax(315) 452-2559
Sole ProprietorNo
Enumeration DateAugust 18, 2005
Last NPPES UpdateSeptember 13, 2007
NPI 1063404820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License Licensed in NY · 199779
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
5100 W TAFT RD, Liverpool, NY 13088

Other Identifiers 11

Medicare UPINF65997
Medicare PINRA2309
Medicaid02224500NY
Medicaid0565508NY
Medicare PINRA2308
Medicare PINAA0672
Medicaid00555440NY
Medicare PINRA2310
Medicare PIN50019A
Medicaid00555500NY
Medicare PIN34589A

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Edward Randolph Noble Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.04
Improvement Activities40
Cost99.97

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Pathology)
5100 W TAFT RD, SUITE #3M NORTH MEDICAL CENTER
LIVERPOOL, NY 13088
Obstetrics & Gynecology (Gynecology)
5100 W TAFT RD, SUITE 3G
LIVERPOOL, NY 13088
Internal Medicine (Cardiovascular Disease)
5100 W TAFT RD, SUITE 4J
LIVERPOOL, NY 13088
Dentist
5100 W TAFT RD, SUITE 3K
LIVERPOOL, NY 13088
Urology
5100 W TAFT RD, SUITE 4-D
LIVERPOOL, NY 13088
Radiology (Diagnostic Radiology)
5100 W TAFT RD, SUITE 2A
LIVERPOOL, NY 13088
Surgery
5100 W TAFT RD, SUITE 2Q
LIVERPOOL, NY 13088
Radiology (Diagnostic Radiology)
5100 W TAFT RD, SUITE 2A
LIVERPOOL, NY 13088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Noble's NPI number?

The NPI number for Edward Noble is 1063404820. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Edward Noble located?

Edward Noble practices at 5100 W Taft Rd Suite 2A, Liverpool, NY 13088. The listed phone number is (315) 452-2555.

What is Edward Noble's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is Edward Noble enrolled in Medicare?

Yes. Edward Noble is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Noble was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.