DR. SAMUEL B. EDELMAN D.O.
NPI 1629064134
Pediatrics - Pediatric Critical Care Medicine in Pensacola, FL

Active since September 21, 2005PECOS Enrolled
5151 N 9TH AVE, PENSACOLA, FL 32504(850) 416-4970 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2026, May 6, 2025, Oct 3, 2024 (3 updates tracked since 2024).

About Dr. Samuel B. Edelman D.o. NPPES

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

DR. SAMUEL B. EDELMAN D.O. (NPI 1629064134) is an individual pediatric critical care medicine provider in Pensacola, Florida, licensed in Florida (OS15663) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Langhorne.

NPPES Registry Identity

NPI1629064134
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. SAMUEL B. EDELMANCredential: D.O.
Location Address5151 N 9TH AVEPensacola, FL 32504-8721
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Sole ProprietorNo
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1629064134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in FL · OS15663
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedEmergency MedicineTaxonomy 207P00000X · License OS008325L (PA)
5151 N 9TH AVE, Pensacola, FL 32504

Secondary Practice Location 1

Location 11201 Langhorne Newtown RdLanghorne, PA 19047-1201 · Phone (215) 710-2100

Other Identifiers 3

Medicaid1168602LA
Medicaid003115568BGA
Medicaid154008AL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel B. Edelman D.o. 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.

Medicare Billing Reassignments

7

Medicare enrollment records show Samuel Edelman reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
5225 CARMEL HEIGHTS DR
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 446 clinicians in this Medicare group
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
Family Medicine
1541 KINGS HWY
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 1,167 clinicians in this Medicare group
General Practice
13950 BRANDYWINE RD, SUITE 225
Brandywine, MD 20613
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Mgmc LLC
  • 861 clinicians in this Medicare group
Orthopaedic Surgery
144 S 8TH ST STE 107
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
Emergency Medicine
1015 W BALTIMORE PIKE
West Grove, PA 19390
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 107 clinicians in this Medicare group
Emergency Medicine
1201 LANGHORNE-NEWTON ROAD
Langhorne, PA 19047
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Emergency Care Services Of Pennsylvania PC
  • 329 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Practitioner (Family)
5151 N 9TH AVE, STE 200
PENSACOLA, FL 32504
Nurse Practitioner (Neonatal)
5151 N 9TH AVE
PENSACOLA, FL 32504
Pediatrics (Pediatric Critical Care Medicine)
5151 N 9TH AVE
PENSACOLA, FL 32504
Emergency Medicine
5151 N 9TH AVE, ER
PENSACOLA, FL 32504
Clinical Pharmacology
5151 N 9TH AVE
PENSACOLA, FL 32504
Student in an Organized Health Care Education/Training Program
5151 N 9TH AVE
PENSACOLA, FL 32504
Emergency Medicine
5151 N 9TH AVE
PENSACOLA, FL 32504
Physician Assistant
5151 N 9TH AVE
PENSACOLA, FL 32504

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 Samuel Edelman's NPI number?

The NPI number for Samuel Edelman is 1629064134. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Samuel Edelman located?

Samuel Edelman practices at 5151 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 416-4970.

What is Samuel Edelman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Samuel Edelman enrolled in Medicare?

Yes. Samuel Edelman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samuel Edelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Edelman reassigns Medicare benefits to 7 organizations: Sacred Heart Health System, Inc. (Pensacola, FL), The Nemours Foundation (Jacksonville, FL), Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA), Medstar Medical Group II LLC (Brandywine, MD), Pinnacle Health Medical Services (Chambersburg, PA) and 2 more organizations, listed in the Medicare section above. Each 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 Samuel Edelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Edelman accept?

Health plans from Oscar Health Maintenance Organization of Florida list Samuel Edelman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Edelman was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.