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MARK H. EDELMAN M.D.
NPI 1669483483
Surgery - Plastic and Reconstructive Surgery in Houston, TX

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
9055 KATY FWY, SUITE 304, HOUSTON, TX 77024(713) 365-9990 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark H. Edelman M.d. NPPES

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

MARK H. EDELMAN M.D. (NPI 1669483483) is an individual plastic and reconstructive surgery provider in Houston, Texas, licensed in Texas (H6186) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1988).

NPPES Registry Identity

NPI1669483483
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMARK H. EDELMANCredential: M.D.
Location Address9055 KATY FWY, SUITE 304Houston, TX 77024-1624
Mailing Address9055 Katy Fwy, Suite 304Houston, TX 77024-1624
Phone(713) 365-9990
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1988
Enumeration DateAugust 10, 2006
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1669483483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · H6186
Definition
A surgeon who specializes in plastic and reconstructive surgery.
9055 KATY FWY, Houston, TX 77024
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark H. Edelman 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 ID4688608227
PECOS Enrollment IDI20110603000579
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 2

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 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.
34 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

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.

NEXTGEN MEDICAL SERVICES, P.A.
Anesthesiology
9055 KATY FWY, SUITE 311
HOUSTON, TX 77024
Harris County (713) 461-8555
JONATHAN J. DORA, M.D.,P.A.
Plastic Surgery
9055 KATY FWY, SUITE 304
HOUSTON, TX 77024
Harris County (713) 790-0024
DR. SONJA BOHN KRISTIANSEN M.D.
Specialist
9055 KATY FWY, SUITE 450
HOUSTON, TX 77024
Harris County (713) 862-6181
HAROLD J FIELDS M.D.
Family Medicine
9055 KATY FWY, STE 100
HOUSTON, TX 77024
Harris County (713) 461-2915
MEMORIAL NW OTOLARYNGOLOGY HEAD & NECK SURGERY ASSOCIATES
Otolaryngology
9055 KATY FWY, SUITE 415
HOUSTON, TX 77024
Harris County (281) 822-3777
OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES
Obstetrics & Gynecology
9055 KATY FWY, SUITE 309
HOUSTON, TX 77024
Harris County (713) 512-7000
MARC H FELDMAN M.D.
Family Medicine
9055 KATY FWY, STE 200
HOUSTON, TX 77024
Harris County (713) 461-2915
DR. ALAN JESSE CHAPMAN JR. MD
Internal Medicine (Infectious Disease)
9055 KATY FWY, SUITE 400
HOUSTON, TX 77024
Harris County (713) 467-1365

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 Mark Edelman's NPI number?

The NPI number for Mark Edelman is 1669483483. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Mark Edelman located?

Mark Edelman practices at 9055 Katy Fwy Suite 304, Houston, TX 77024. The listed phone number is (713) 365-9990.

What is Mark Edelman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Mark Edelman enrolled in Medicare?

Yes. Mark Edelman 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.

What insurance does Mark Edelman accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Mark 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 Mark Edelman was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.