ANGELENA B. EDWARDS M.D. - NPI 1073856860 - Urology in Louisville, KY

Q: What is Angelena Edwards's NPI number?

The NPI number for Angelena Edwards is 1073856860. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Q: What is Angelena Edwards's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Angelena Edwards was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Angelena B. Edwards M.d. NPPES

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

ANGELENA B. EDWARDS M.D. (NPI 1073856860) is an individual pediatric urology provider in Louisville, Kentucky, licensed in Kentucky (59770) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073856860

Entity TypeIndividualFemale

Primary Taxonomy2088P0231X

Provider Legal NameANGELENA B. EDWARDSCredential: M.D.

Location Address3999 DUTCHMANS LN STE 6FLouisville, KY 40207-4724

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 559-1670

Fax(502) 349-1999

Sole ProprietorNo

Enumeration DateApril 1, 2013

Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1073856860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Licenses✔ Licensed in KY · 59770✔ Licensed in IA · MD-47279

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License MD-47279 (IA)

3999 DUTCHMANS LN STE 6F, Louisville, KY 40207

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Secondary Practice Locations 2

Location 1200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 356-0748

Location 2105 E 9th StCoralville, IA 52241-2209 · Phone (319) 467-2000 · Fax (319) 467-2410

Other Identifiers 1

Medicaid1073856860KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelena B. Edwards 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.

Other Providers at the Same Location NPPES 8

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

JAMES EDWARD MOYER MD

Pediatrics