MICIA EDWARDS MD
NPI 1275110926
Hospitalist in Albany, NY

Q: What is Micia Edwards's NPI number?

The NPI number for Micia Edwards is 1275110926. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Q: What is Micia Edwards's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Micia Edwards was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 27, 2021PECOS EnrolledAccepts Medicare Assignment

315 S MANNING BLVD, ALBANY, NY 12208(518) 525-8600(518) 525-6545 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 10, 2025, Mar 27, 2021 (2 updates tracked since 2021).

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About Micia Edwards Md NPPES

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

MICIA EDWARDS MD (NPI 1275110926) is an individual hospitalist provider in Albany, New York, licensed in New York (331187) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275110926

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameMICIA EDWARDSCredential: MD

Location Address315 S MANNING BLVDAlbany, NY 12208-1707

Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094

Phone(518) 525-8600

Fax(518) 525-6545

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 27, 2021

Last NPPES UpdateFebruary 10, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2025

✔ NPI 1275110926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NY · 331187

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 331187 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 64440

315 S MANNING BLVD, Albany, NY 12208

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Secondary Practice Locations 2

Location 12215 Burdett AveTroy, NY 12180-2466 · Phone (518) 525-8600 · Fax (518) 271-3440

Location 2391 Myrtle Ave Ste 4AAlbany, NY 12208-3797 · Phone (518) 207-2273 · Fax (518) 207-2293

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Micia 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 ID9133652100

PECOS Enrollment IDI20241029003352

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 2

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 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.

34 services14 patients

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.

31 services18 patients

Hospital Affiliations CMS Care Compare 3

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330057

Location315 South Manning BoulevardAlbany, NY 12208 · Albany County

Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330180

Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County

Emergency services Birthing friendly

Sunnyview Hospital And Rehabilitation Center

Acute Care Hospitals · Schenectady, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number330406

Location1270 Belmont AvenueSchenectady, NY 12308 · Schenectady County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

ARUNIMA RAJBHANDARY MD

Hospitalist