EDWARD L ANDRADA MD
NPI 1730145814
Family Medicine in Russellville, AR

Q: What is Edward Andrada's NPI number?

The NPI number for Edward Andrada is 1730145814. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Edward Andrada's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Andrada was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 26, 2006PECOS Enrolled

101 SKYLINE DR, RUSSELLVILLE, AR 72801(479) 968-2345(479) 890-2467 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Edward L Andrada Md NPPES

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

EDWARD L ANDRADA MD (NPI 1730145814) is an individual family medicine provider in Russellville, Arkansas, licensed in Arkansas (E-3825) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Russellville.

NPPES Registry Identity

NPI1730145814

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameEDWARD L ANDRADACredential: MD

Location Address101 SKYLINE DRRussellville, AR 72801-3363

Mailing Address101 Skyline DrRussellville, AR 72801-3363 · (479) 968-2345 · Fax (479) 890-2467

Phone(479) 968-2345

Fax(479) 890-2467

Sole ProprietorNo

Enumeration DateApril 26, 2006

Last NPPES UpdateJanuary 30, 2020

✔ NPI 1730145814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AR · E-3825

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

101 SKYLINE DR, Russellville, AR 72801

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Secondary Practice Location 1

Location 11600 W C PlRussellville, AR 72801-2705 · Phone (479) 967-7717 · Fax (866) 280-8464

Other Identifiers 1

Medicaid152300001AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward L Andrada Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72801 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 4

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

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

1 supplier11 claims33 services$44.71 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers13 claims13 services$21.94 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers16 claims96 services$2.97 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier13 claims13 services$17.97 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. MARK EDWARD BUCHANAN M.D.

Orthopaedic Surgery