CALEB SIMPEH EDWARDS MD
NPI 1790428548
Student in an Organized Health Care Education/Training Program in Aurora, CO

Q: What is Caleb Edwards's NPI number?

The NPI number for Caleb Edwards is 1790428548. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Q: What is Caleb Edwards's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Caleb Edwards was last updated on April 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2022PECOS Enrolled

12631 E 17TH AVE RM 6111, AURORA, CO 80045(303) 724-2685 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Caleb Simpeh Edwards Md NPPES

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

CALEB SIMPEH EDWARDS MD (NPI 1790428548) is an individual student in an organized health care education/training program in Aurora, Colorado, licensed in Colorado (TL.0009244) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790428548

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCALEB SIMPEH EDWARDSCredential: MD

Location Address12631 E 17TH AVE RM 6111Aurora, CO 80045-2527

Mailing Address12631 E 17th Ave Rm 6111Aurora, CO 80045-2527 · (303) 724-2685

Phone(303) 724-2685

Sole ProprietorNo

Enumeration DateApril 19, 2022

Last NPPES UpdateApril 21, 2022

NPPES CertifiedApril 21, 2022

✔ NPI 1790428548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in CO · TL.0009244

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12631 E 17TH AVE RM 6111, Aurora, CO 80045

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caleb Simpeh Edwards 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.

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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. DANIEL JAMES KITTS MD

Student in an Organized Health Care Education/Training Program