DAVID KEITH EDELBERG MD
NPI 1780809764
Internal Medicine in Chicago, IL

Active since April 16, 2007Opted out of Medicare · through Mar 14, 2028
2522 N LINCOLN AVE, CHICAGO, IL 60614(773) 296-6700(773) 296-1131 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Keith Edelberg Md NPPES

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

DAVID KEITH EDELBERG MD (NPI 1780809764) is an individual internal medicine provider in Chicago, Illinois and active in the NPI registry since April 2007. He has opted out of Medicare through March 14, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780809764
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID KEITH EDELBERGCredential: MD
Location Address2522 N LINCOLN AVEChicago, IL 60614
Mailing Address2522 N Lincoln AveChicago, IL 60614 · (773) 296-6700 · Fax (773) 296-1131
Fax(773) 296-1131
Sole ProprietorNo
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1780809764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2522 N LINCOLN AVE, Chicago, IL 60614

Other Identifiers 2

Medicare UPINC41482
Medicare ID-Type Unspecified706300

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

David Keith Edelberg Md 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 March 14, 2014 through March 14, 2028.

Opt-Out Effective DateMarch 14, 2014
Opt-Out In Effect ThroughMarch 14, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
2522 N LINCOLN AVE
CHICAGO, IL 60614
Psychologist (Group Psychotherapy)
2522 N LINCOLN AVE
CHICAGO, IL 60614
Physical Therapist
2522 N LINCOLN AVE
CHICAGO, IL 60614
Internal Medicine
2522 N LINCOLN AVE
CHICAGO, IL 60614
Chiropractor
2522 N LINCOLN AVE, WHOLEHEALTH CHICAGO
CHICAGO, IL 60614
Chiropractor
2522 N LINCOLN AVE
CHICAGO, IL 60614
Specialist
2522 N LINCOLN AVE
CHICAGO, IL 60614
Acupuncturist
2522 N LINCOLN AVE
CHICAGO, IL 60614

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 David Edelberg's NPI number?

The NPI number for David Edelberg is 1780809764. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is David Edelberg located?

David Edelberg practices at 2522 N Lincoln Ave, Chicago, IL 60614. The listed phone number is (773) 296-6700.

What is David Edelberg's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Edelberg enrolled in Medicare?

No. David Edelberg has opted out of Medicare through March 14, 2028. 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 David Edelberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.