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HOWARD ELLIS EDELSTEIN MD
NPI 1497765069
Internal Medicine - Infectious Disease in Oakland, CA

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
1411 E 31ST STREET, OAKCARE MEDICAL GROUP, OAKLAND, CA 94602(510) 437-4323(510) 437-5042 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Howard Ellis Edelstein Md NPPES

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

HOWARD ELLIS EDELSTEIN MD (NPI 1497765069) is an individual infectious disease provider in Oakland, California, licensed in California (G050259) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1982).

NPPES Registry Identity

NPI1497765069
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameHOWARD ELLIS EDELSTEINCredential: MD
Location Address1411 E 31ST STREET, OAKCARE MEDICAL GROUPOakland, CA 94602-1080
Mailing Address1411 E 31st Street, Oakcare Medical GroupOakland, CA 94602-1080 · (510) 437-4323 · Fax (510) 437-5042
Phone(510) 437-4323
Fax(510) 437-5042
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1982
Enumeration DateAugust 8, 2006
Last NPPES UpdateFebruary 21, 2012
✔ NPI 1497765069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in CA · G050259
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1411 E 31ST STREET, Oakland, CA 94602
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified00G0502590CA
Medicaid00G0502590CA
Medicare UPINF14486

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

Howard Ellis Edelstein 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 ID7618948811
PECOS Enrollment IDI20040802001643
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
245 services96 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services69 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
Test to assess the ability to complete specific functional tasks applicable to environment 96125
This is a test that measures your ability to perform certain tasks that are relevant to your daily life and environment. It evaluates how well you can manage activities like cooking, cleaning, or shopping. It doesn't involve any invasive procedures.
25 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services22 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$63.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENISE TUKENMEZ MD
Pediatrics
1411 E 31ST STREET, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Alameda County (510) 437-4323
SONJI FRANCINE WALKER MSW
Social Worker (Clinical)
1411 E 31ST STREET
OAKLAND, CA 94602
Alameda County (510) 437-4688
RONALD ADLER MD
Internal Medicine (Gastroenterology)
1411 E 31ST STREET, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Alameda County (510) 437-4323
BRADLEY JACKSON HOLDEN MD
Pediatrics (Neonatal-Perinatal Medicine)
1411 E 31ST STREET, OAK CARE MED GRP
OAKLAND, CA 94602
Alameda County (510) 437-4323
ZEV MASON FELIX DO
Student in an Organized Health Care Education/Training Program
1411 E 31ST STREET, QIC 22134 DEPT OF SURGERY
OAKLAND, CA 94602
Alameda County (510) 437-4401
TERESA LYNN DIAZ MD
Obstetrics & Gynecology
1411 E 31ST STREET, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Alameda County (510) 437-4323
MS. AMY ELISABETH HERRICK CRNA
Nurse Anesthetist, Certified Registered
1411 E 31ST STREET
OAKLAND, CA 94602
Alameda County (510) 437-4366
KATHLEEN ANNE CLANON MD
Allergy & Immunology
1411 E 31ST STREET
OAKLAND, CA 94602
Alameda County (510) 437-4323

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 Howard Edelstein's NPI number?

The NPI number for Howard Edelstein is 1497765069. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Howard Edelstein located?

Howard Edelstein practices at 1411 E 31st Street Oakcare Medical Group, Oakland, CA 94602. The listed phone number is (510) 437-4323.

What is Howard Edelstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Howard Edelstein enrolled in Medicare?

Yes. Howard Edelstein is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Howard Edelstein was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.