DR. SANFORD EDWARDS MD
NPI 1134617681
Surgery in Westerly, RI
About Dr. Sanford Edwards Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANFORD EDWARDS MD (NPI 1134617681) is an individual surgery provider in Westerly, Rhode Island, licensed in Rhode Island (19309) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Sanford 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.
Medicare Billing Reassignment
Medicare enrollment records show Sanford Edwards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Haven, CT 06510
- Reassigned Medicare billing, Connecticut and Rhode Island enrollments
- Medicare enrollment name: Northeast Medical Group Inc
- Also billed through NPI 1043278351 (Rhode Island)
- 1,824 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Westerly Hospital
Acute Care Hospitals · Westerly, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02891 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Sanford Edwards's NPI number?
The NPI number for Sanford Edwards is 1134617681. It was assigned to this individual provider in the NPPES registry on April 30, 2018.
Where is Sanford Edwards located?
Sanford Edwards practices at 25 Wells St, Westerly, RI 02891. The listed phone number is (401) 315-5595.
What is Sanford Edwards's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Sanford Edwards enrolled in Medicare?
Yes. Sanford 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 Sanford Edwards's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanford Edwards reassigns Medicare benefits to Mill Hill Medical Consultants Inc (New Haven, CT). 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 Sanford Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sanford Edwards accept?
Health plans from Anthem Blue Cross and Blue Shield list Sanford 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 Sanford Edwards affiliated with any hospitals?
According to CMS data, Sanford Edwards is affiliated with Westerly Hospital.
When was this NPI record last updated?
The NPPES record for Sanford Edwards was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Sanford Edwards, MD · NPI 1134617681
Surgery physician in Westerly, Rhode Island. Individual provider, active in the CMS NPPES registry since April 30, 2018.
## Identity
- **NPI:** 1134617681 (Entity type: Individual)
- **Enumerated:** April 30, 2018
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 19309 (Rhode Island)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 25 WELLS ST, Westerly, RI 02891-2922
- **Phone:** (401) 315-5595
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mill Hill Medical Consultants Inc (NPI 1952624769, New Haven, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1134617681) · Data from the CMS NPPES public registry.