EDWARD L CHILDERS DO
NPI 1679567986
Family Medicine in Albuquerque, NM
About Edward L Childers Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD L CHILDERS DO (NPI 1679567986) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (A65376) and active in the NPI registry since September 2005. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Edward L Childers Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2015 through October 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87111
ALBUQUERQUE, NM 87111
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 Edward Childers's NPI number?
The NPI number for Edward Childers is 1679567986. It was assigned to this individual provider in the NPPES registry on September 1, 2005.
Where is Edward Childers located?
Edward Childers practices at 3825 Eubank Blvd NE Ste C, Albuquerque, NM 87111. The listed phone number is (505) 298-8020.
What is Edward Childers's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Edward Childers enrolled in Medicare?
No. Edward Childers has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Edward Childers was last updated on December 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Edward L Childers, DO · NPI 1679567986
Family Medicine physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since September 1, 2005.
## Identity
- **NPI:** 1679567986 (Entity type: Individual)
- **Enumerated:** September 1, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A65376 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3825 EUBANK BLVD NE, STE C, Albuquerque, NM 87111-3575
- **Phone:** (505) 298-8020 · **Fax:** (505) 292-5006
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** December 16, 2010
- **Other identifiers:** Medicare UPIN C99446
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Source: [NPI Profile](https://npiprofile.com/npi/1679567986) · Data from the CMS NPPES public registry.