EDWARD MEDICAL GROUP
NPI 1356632657
Clinic/Center - Multi-Specialty in Bolingbrook, IL
About Edward Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD MEDICAL GROUP (NPI 1356632657) is a healthcare organization registered as a multi-specialty in Bolingbrook, Illinois and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through December 14, 2027 and lists Bill Kottman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edward Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
559Medicare enrollment records show 559 clinicians reassign Medicare billing to Edward Medical Group, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 292 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 37
Nearest to this location (20)
See all 559Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D1048932
Edward Medical Group - Site 8 · Bolingbrook, ILFrequently 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 Edward Health Ventures's NPI number?
The NPI number for Edward Health Ventures is 1356632657. It was assigned to this organization in the NPPES registry on April 21, 2011. The provider is doing business as Edward Medical Group.
Where is Edward Health Ventures located?
Edward Health Ventures is located at 130 Weber Road Ste 100, Bolingbrook, IL 60440. The listed phone number is (630) 646-5777.
What is Edward Health Ventures's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Edward Health Ventures enrolled in Medicare?
Yes. Edward Health Ventures is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edward Health Ventures?
According to the CMS Revalidation Reassignment List (October 2026 release), 559 clinicians in 37 Medicare specialties reassign their Medicare billing to Edward Health Ventures. A 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 the clinician's services. The largest specialties are Nurse Practitioner (190), Family Practice (75) and Internal Medicine (45). Of these, 7 practice at this address and 292 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Edward Health Ventures hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1048932) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Edward Health Ventures was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Edward Medical Group · NPI 1356632657
Multi-Specialty organization in Bolingbrook, Illinois. Organization record, active in the CMS NPPES registry since April 21, 2011.
## Identity
- **NPI:** 1356632657 (Entity type: Organization)
- **Enumerated:** April 21, 2011
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Edward Health Ventures
- **Organization subpart:** No
- **Authorized official:** Bill Kottman, PRESIDENT
## Practice location
- **Address:** 130 WEBER ROAD, STE 100, Bolingbrook, IL 60440-1519
- **Phone:** (630) 646-5777 · **Fax:** (630) 646-5729
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 559 clinicians in 37 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (190), Family Practice (75), Internal Medicine (45); 7 practice at this address and 292 within 10 miles; [full list](https://npiprofile.com/npi/1356632657/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356632657) · Data from the CMS NPPES public registry.