SHELDON EDWARDS MD
NPI 1124557707
Internal Medicine in Columbus, OH

Q: What is Sheldon Edwards's NPI number?

The NPI number for Sheldon Edwards is 1124557707. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Q: What is Sheldon Edwards's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sheldon Edwards was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment

4825 KNIGHTSBRIDGE BLVD, COLUMBUS, OH 43214(614) 451-9612(614) 451-2009 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2023, Jul 21, 2022, Aug 13, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Sheldon Edwards Md NPPES

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

SHELDON EDWARDS MD (NPI 1124557707) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35.149483) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of University Of Colorado School Of Medicine, Aurora (2017).

NPPES Registry Identity

NPI1124557707

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSHELDON EDWARDSCredential: MD

Location Address4825 KNIGHTSBRIDGE BLVDColumbus, OH 43214-4325

Mailing Address4825 Knightsbridge BlvdColumbus, OH 43214-4325 · (614) 451-9612 · Fax (614) 451-2009

Phone(614) 451-9612

Fax(614) 451-2009

Sole ProprietorYes

Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2017

Enumeration DateJune 7, 2017

Last NPPES UpdateMay 23, 20244 updates tracked since enumeration

NPPES CertifiedMay 23, 2024

✔ NPI 1124557707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35.149483

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.

4825 KNIGHTSBRIDGE BLVD, Columbus, OH 43214

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sheldon Edwards Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537410642

PECOS Enrollment IDI20240911000455

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 Billing Reassignment

Medicare enrollment records show Sheldon Edwards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Ohio Primary Care Physicians, Inc.

7.9 mi

Internal Medicine

655 AFRICA RD
Westerville, OH 43082

Reassigned Medicare billing, Ohio enrollment
675 clinicians in this Medicare group

NPI 1194705194 (614) 326-2672

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 21

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

108 services81 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

98 services71 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

46 services46 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

45 services45 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

43 services40 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

39 services33 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

28 services24 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

27 services26 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

26 services26 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

26 services26 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

25 services24 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

23 services23 patients

Parathormone (parathyroid hormone) level 83970

The Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.

18 services18 patients

Total protein level, urine 84156

The Total Protein Level in urine test measures the amount of protein present in your urine. This helps to check kidney health as high levels may indicate a problem. It's a simple, non-invasive procedure involving a urine sample.

17 services17 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

16 services16 patients

Hepatitis c antibody screening, for individual at high risk and other covered indication(s) G0472

Hepatitis C antibody screening is a blood test performed to identify if you've been exposed to the Hepatitis C virus. This is especially important for individuals at high risk, such as those with certain health conditions or lifestyle factors. Early detection can lead to more effective treatments.

16 services16 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

13 services13 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

13 services13 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

13 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360017

Location111 South Grant AvenueColumbus, OH 43215 · Franklin County

Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360152

Location5100 West Broad StreetColumbus, OH 43228 · Franklin County

Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360348

Location7500 Hospital AvenueDublin, OH 43016 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 4

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers13 claims13 services$33.86 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers15 claims15 services$39.89 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers15 claims90 services$1.62 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

1 supplier36 claims36 services$193.15 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 7

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

MICHAEL J GALLAGHER MD

Internal Medicine

4825 KNIGHTSBRIDGE BLVD
COLUMBUS, OH 43214

Franklin County (614) 451-9612

WILLIAM J GRAMANN M.D.

Internal Medicine

4825 KNIGHTSBRIDGE BLVD
COLUMBUS, OH 43214

Franklin County (614) 451-9612

NAN E CRINER RN, BSN, CDE

Nutritionist (Nutrition, Education)

4825 KNIGHTSBRIDGE BLVD, SUITE A
COLUMBUS, OH 43214

Franklin County (614) 459-0216

SABREEN O ABU OBAID MD

Internal Medicine

4825 KNIGHTSBRIDGE BLVD
COLUMBUS, OH 43214

Franklin County (614) 457-4806

MONIQUE A BOEZI DO

Internal Medicine

4825 KNIGHTSBRIDGE BLVD
COLUMBUS, OH 43214

Franklin County (614) 451-9612

DAVID S LAHUE M.D.

Internal Medicine

4825 KNIGHTSBRIDGE BLVD
COLUMBUS, OH 43214

Franklin County (614) 451-9612

ARLENE M FEDORCHAK MD

Internal Medicine

4825 KNIGHTSBRIDGE BLVD
COLUMBUS, OH 43214

Franklin County (614) 451-9612

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 Sheldon Edwards's NPI number?

The NPI number for Sheldon Edwards is 1124557707. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Sheldon Edwards located?

Sheldon Edwards practices at 4825 Knightsbridge Blvd, Columbus, OH 43214. The listed phone number is (614) 451-9612.

What is Sheldon Edwards's specialty?

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

Is Sheldon Edwards enrolled in Medicare?

Yes. Sheldon Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sheldon Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheldon Edwards reassigns Medicare benefits to Central Ohio Primary Care Physicians, Inc. (Westerville, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheldon Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheldon Edwards accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Oscar Health Insurance and 1 other insurer list Sheldon Edwards as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sheldon Edwards affiliated with any hospitals?

According to CMS data, Sheldon Edwards is affiliated with Riverside Methodist Hospital, Grant Medical Center, Ohio State University State Health System, Doctors Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Sheldon Edwards was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.