EDO KWEKU SETSOAFIA BEDZRA M.D., M.B.A.
NPI 1174889695
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fort Worth, TX

Q: What is Edo Bedzra's NPI number?

The NPI number for Edo Bedzra is 1174889695. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Q: What is Edo Bedzra's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Edo Bedzra was last updated on November 2, 2022. 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.

Active since April 10, 2012PECOS Enrolled

1500 COOPER ST, FORT WORTH, TX 76104(682) 885-6400 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2022, Apr 9, 2021, Oct 20, 2020 and 1 more (4 updates tracked since 2019).

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About Edo Kweku Setsoafia Bedzra M.d., M.b.a. NPPES

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

EDO KWEKU SETSOAFIA BEDZRA M.D., M.B.A. (NPI 1174889695) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Fort Worth, Texas, licensed in Texas (S7390) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174889695

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameEDO KWEKU SETSOAFIA BEDZRACredential: M.D., M.B.A.

Location Address1500 COOPER STFort Worth, TX 76104-2710

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113

Phone(682) 885-6400

Sole ProprietorNo

Enumeration DateApril 10, 2012

Last NPPES UpdateNovember 2, 20224 updates tracked since enumeration

NPPES CertifiedNovember 2, 2022

✔ NPI 1174889695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in TX · S7390✔ Licensed in WA · ML60291228

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1500 COOPER ST, Fort Worth, TX 76104

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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, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. 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)

Edo Kweku Setsoafia Bedzra M.d., M.b.a. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$171.07 typical visit price

range $56.47 – $171.07

Typical copayment $42.76 (range $14.11 – $42.76)

Most-billed visit code 99205

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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