DR. PHILIPPE EDOUARD MD
NPI 1124029491
Internal Medicine in Petaluma, CA

Active since August 09, 2005PECOS Enrolled
1179 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 559-7500(707) 559-7620 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2019, Jul 12, 2019, Nov 13, 2018 and 2 more (5 updates tracked since 2018).

About Dr. Philippe Edouard Md NPPES

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

DR. PHILIPPE EDOUARD MD (NPI 1124029491) is an individual internal medicine provider in Petaluma, California, licensed in California (C51257) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124029491
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PHILIPPE EDOUARDCredential: MD
Location Address1179 N MCDOWELL BLVDPetaluma, CA 94954-6559
Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500 · Fax (707) 559-7620
Fax(707) 559-7620
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateSeptember 20, 20195 updates tracked since enumeration
NPI 1124029491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · C51257
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1179 N MCDOWELL BLVD, Petaluma, CA 94954

Secondary Practice Locations 2

Location 15900 State Farm Dr Ste 200Rohnert Park, CA 94928-2149 · Phone (707) 559-7600
Location 21165 Montgomery DrSanta Rosa, CA 95405-4801 · Phone (707) 546-3210

Other Identifiers 1

Medicaid00C512570CA

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. Philippe Edouard Md 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
175 services100 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
95 services90 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
83 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers14 claims63 services$3.63 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$196.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Physician Assistant
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Nurse Practitioner (Family)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Dentist
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Social Worker (Clinical)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954

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 Philippe Edouard's NPI number?

The NPI number for Philippe Edouard is 1124029491. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Philippe Edouard located?

Philippe Edouard practices at 1179 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 559-7500.

What is Philippe Edouard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Philippe Edouard enrolled in Medicare?

Yes. Philippe Edouard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philippe Edouard was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.