EDGAR BEDOLLA MD
NPI 1265691158
Surgery - Plastic and Reconstructive Surgery in Dallas, TX
About Edgar Bedolla Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGAR BEDOLLA MD (NPI 1265691158) is an individual plastic and reconstructive surgery provider in Dallas, Texas, licensed in Texas (R7662) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edgar Bedolla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Edgar Bedolla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Texas enrollment
- 1,246 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.
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 Edgar Bedolla's NPI number?
The NPI number for Edgar Bedolla is 1265691158. It was assigned to this individual provider in the NPPES registry on June 5, 2008.
Where is Edgar Bedolla located?
Edgar Bedolla practices at 7777 Forest Ln Ste C818, Dallas, TX 75230. The listed phone number is (214) 271-6308.
What is Edgar Bedolla's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Edgar Bedolla enrolled in Medicare?
Yes. Edgar Bedolla is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Edgar Bedolla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Bedolla reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Edgar Bedolla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edgar Bedolla was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Edgar Bedolla, MD · NPI 1265691158
Plastic and Reconstructive Surgery physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since June 5, 2008.
## Identity
- **NPI:** 1265691158 (Entity type: Individual)
- **Enumerated:** June 5, 2008
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** R7662 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 7777 FOREST LN STE C818, Dallas, TX 75230-7526
- **Phone:** (214) 271-6308
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265691158) · Data from the CMS NPPES public registry.