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LIAM JACOB EDGAR MD
NPI 1457145633
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 04, 2025PECOS Enrolled
M126 RIVERSIDE EAST BUILDING, 2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 624-4477 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Liam Jacob Edgar Md NPPES

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

LIAM JACOB EDGAR MD (NPI 1457145633) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457145633
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLIAM JACOB EDGARCredential: MD
Location AddressM126 RIVERSIDE EAST BUILDING, 2450 RIVERSIDE AVEMinneapolis, MN 55454
Mailing AddressM126 Riverside East Building, 2450 Riverside AveMinneapolis, MN 55454 · (612) 624-4477
Phone(612) 624-4477
Sole ProprietorYes
Enumeration DateApril 4, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1457145633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
M126 RIVERSIDE EAST BUILDING, Minneapolis, MN 55454
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liam Jacob Edgar Md 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.

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 Liam Edgar's NPI number?

The NPI number for Liam Edgar is 1457145633. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Liam Edgar located?

Liam Edgar practices at M126 Riverside East Building 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 624-4477.

What is Liam Edgar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Liam Edgar enrolled in Medicare?

Yes. Liam Edgar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Liam Edgar was last updated on April 4, 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.