EDGE MEDICAL CARE PC
NPI 1447255609
Clinic/Center - Primary Care in Riverdale, MD

Active since June 15, 2005
5305 KENILWORTH AVE, STE 100, RIVERDALE, MD 20737(301) 277-7110 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Edge Medical Care Pc NPPES

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

EDGE MEDICAL CARE PC (NPI 1447255609) is a healthcare organization registered as a primary care in Riverdale, Maryland and active in the NPI registry since June 2005. The organization lists George C Ego-osuala, President, as its authorized official.

NPPES Registry Identity

NPI1447255609
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEDGE MEDICAL CARE PC
Location Address5305 KENILWORTH AVE, STE 100Riverdale, MD 20737-3110
Mailing AddressPo Box 7909Langley Park, MD 20787-7909
Organization SubpartNo
Authorized OfficialGeorge C Ego-osualaPresident · (301) 434-9147
Enumeration DateJune 15, 2005
Last NPPES UpdateJuly 10, 2008
✔ NPI 1447255609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses✔ Licensed in MD · D 47156✔ Licensed in DC · MD 21355
5305 KENILWORTH AVE, Riverdale, MD 20737

Other Identifiers 4

Medicare UPING12335MD
OtherG02849MD · Medicare Group Ptan
Medicare PIN786075MD
Medicaid852000300MD

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edge Medical Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateDistrict of ColumbiaEnrollment IDO20080625000747Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Edge Medical Care PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1679578835
7676 NEW HAMPSHIRE AVE STE 420
Takoma Park, MD 20912
(301) 434-9147
✔ PECOS✔ Accepts Medicare4.2 mi

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 Edge Medical Care PC's NPI number?

The NPI number for Edge Medical Care PC is 1447255609. It was assigned to this organization in the NPPES registry on June 15, 2005.

Where is Edge Medical Care PC located?

Edge Medical Care PC is located at 5305 Kenilworth Ave Ste 100, Riverdale, MD 20737. The listed phone number is (301) 277-7110.

What is Edge Medical Care PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Edge Medical Care PC enrolled in Medicare?

Yes. Edge Medical Care PC is registered in the Medicare PECOS enrollment system.

When is Edge Medical Care PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Edge Medical Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Edge Medical Care PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Edge Medical Care PC was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.