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DR. DAN KELLY EIDMAN M.D.
NPI 1649270059
Orthopaedic Surgery - Sports Medicine in Houston, TX

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
4200 TWELVE OAKS DR.,, HOUSTON, TX 77027(713) 980-7900(713) 600-1788 Get Directions Write a Review

NPPES record last updated: July 22, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 22, 2023, May 30, 2023, Mar 28, 2023 (3 updates tracked since 2023).

About Dr. Dan Kelly Eidman M.d. NPPES

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

DR. DAN KELLY EIDMAN M.D. (NPI 1649270059) is an individual sports medicine provider in Houston, Texas, licensed in Texas (E4316) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Ad Hospital East, Llc, and is a graduate of Baylor College Of Medicine (1975).

NPPES Registry Identity

NPI1649270059
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. DAN KELLY EIDMANCredential: M.D.
Location Address4200 TWELVE OAKS DR.,Houston, TX 77027
Mailing Address4200 Twelve Oaks Dr.,Houston, TX 77027 · (713) 980-7900 · Fax (713) 600-1788
Phone(713) 980-7900
Fax(713) 600-1788
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1975
Enumeration DateJuly 28, 2005
Last NPPES UpdateJuly 22, 20233 updates tracked since enumeration
NPPES CertifiedJuly 22, 2023
✔ NPI 1649270059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in TX · E4316
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedSpecialistTaxonomy 174400000X · License E4316 (TX)
4200 TWELVE OAKS DR.,, Houston, TX 77027
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dan Kelly Eidman M.d. 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 ID2264581495
PECOS Enrollment IDI20120810000346
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 Reassignment

Medicare enrollment records show Dan Eidman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Surgeons & Physicians Network, Inc.
Same address
Family Medicine
4200 TWELVE OAKS DR
Houston, TX 77027
  • Reassigned Medicare billing, Texas enrollment
  • 139 clinicians in this Medicare group
NPI 1508030917 (713) 795-4884

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

Areas of Expertise CMS Part B claims

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.
111 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ad Hospital East, LLC

Acute Care Hospitals · Houston, TX
OwnershipProprietary
CMS Certification Number670102
Location12950 East Freeway, Suite 100Houston, TX 77015 · Harris County
Emergency services

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 Dan Eidman's NPI number?

The NPI number for Dan Eidman is 1649270059. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Dan Eidman located?

Dan Eidman practices at 4200 Twelve Oaks Dr.,, Houston, TX 77027. The listed phone number is (713) 980-7900.

What is Dan Eidman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Dan Eidman enrolled in Medicare?

Yes. Dan Eidman 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.

Which organization bills Medicare for Dan Eidman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dan Eidman reassigns Medicare benefits to Advanced Surgeons & Physicians Network, Inc. (Houston, TX). The 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 Dan Eidman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dan Eidman accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Dan Eidman 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.

Is Dan Eidman affiliated with any hospitals?

According to CMS data, Dan Eidman is affiliated with Ad Hospital East, LLC.

When was this NPI record last updated?

The NPPES record for Dan Eidman was last updated on July 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.