1. Home
  2. Directory
  3. Texas
  4. The Woodlands
  5. Pediatrics
  6. NPI Profile

JOSEPH PATRICK EDRALIN MD
NPI 1821028655
Pediatrics in The Woodlands, TX

Active since July 04, 2006PECOS Enrolled
4800 W PANTHER CREEK DR, STE 100, THE WOODLANDS, TX 77381(281) 364-8600(281) 298-2005 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Joseph Patrick Edralin Md NPPES

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

JOSEPH PATRICK EDRALIN MD (NPI 1821028655) is an individual pediatrics provider in The Woodlands, Texas, licensed in Texas (J1454) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821028655
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOSEPH PATRICK EDRALINCredential: MD
Location Address4800 W PANTHER CREEK DR, STE 100The Woodlands, TX 77381-2563
Mailing Address4800 W Panther Creek Dr, Ste 100The Woodlands, TX 77381-2563 · (281) 364-8600 · Fax (281) 298-2005
Phone(281) 364-8600
Fax(281) 298-2005
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821028655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · J1454
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4800 W PANTHER CREEK DR, The Woodlands, TX 77381
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF59515TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Patrick Edralin 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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Edralin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrix Medical Group Of Texas Billing, Inc.
30 mi
Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 clinicians in this Medicare group
NPI 1649377359 (281) 293-7774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77381 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 7

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

DR. JOAN SAUNDERS PURCELL MD
Pediatrics (Adolescent Medicine)
4800 W PANTHER CREEK DR, STE 100
THE WOODLANDS, TX 77381
Montgomery County (281) 364-8600
REBECCA S BROWNING RN, CPNP
Nurse Practitioner (Pediatrics)
4800 W PANTHER CREEK DR, STE 100
THE WOODLANDS, TX 77381
Montgomery County (281) 364-8600
WOODLANDS RADIOLOGY LLC
Clinic/Center (Radiology)
4800 W PANTHER CREEK DR
THE WOODLANDS, TX 77381
Montgomery County (713) 703-2398
STEP PEDIATRICS, PA
Pediatrics
4800 W PANTHER CREEK DR, STE 100
THE WOODLANDS, TX 77381
Montgomery County (281) 364-8600
WOODLANDS OPEN MRI & IMAGING CENTER L P
Radiology (Diagnostic Radiology)
4800 W PANTHER CREEK DR, SUITE 150
THE WOODLANDS, TX 77381
Montgomery County (281) 367-6736
AUDREY KAREN TAMM MD
Pediatrics
4800 W PANTHER CREEK DR, STE 100
THE WOODLANDS, TX 77381
Montgomery County (281) 364-8600
DR. GUY M LEWIS DDS
Dentist
4800 W PANTHER CREEK DR, SUITE 200
THE WOODLANDS, TX 77381
Montgomery County (281) 367-6465

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 Joseph Edralin's NPI number?

The NPI number for Joseph Edralin is 1821028655. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Joseph Edralin located?

Joseph Edralin practices at 4800 W Panther Creek Dr Ste 100, The Woodlands, TX 77381. The listed phone number is (281) 364-8600.

What is Joseph Edralin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Joseph Edralin enrolled in Medicare?

Yes. Joseph Edralin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Edralin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Edralin reassigns Medicare benefits to Pediatrix Medical Group Of Texas Billing, Inc. (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Edralin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Edralin accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Joseph Edralin 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 Joseph Edralin 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.