DR. TIMI I EDEKI MD
NPI 1962647644
Internal Medicine in Philadelphia, PA

Q: What is Timi Edeki's NPI number?

The NPI number for Timi Edeki is 1962647644. It was assigned to this individual provider in the NPPES registry on December 9, 2008.

Q: What is Timi Edeki's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timi Edeki was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 December 09, 2008PECOS Enrolled

6431 SACKETT ST, PHILADELPHIA, PA 19149(267) 448-4908(267) 297-3950 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2026, Nov 1, 2016, Oct 11, 2016 (3 updates tracked since 2016).

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About Dr. Timi I Edeki Md NPPES

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

DR. TIMI I EDEKI MD (NPI 1962647644) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD433515) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962647644

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. TIMI I EDEKICredential: MD

Location Address6431 SACKETT STPhiladelphia, PA 19149

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (267) 448-4908 · Fax (267) 297-3950

Phone(267) 448-4908

Fax(267) 297-3950

Sole ProprietorNo

Enumeration DateDecember 9, 2008

Last NPPES UpdateJanuary 6, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1962647644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD433515

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.

6431 SACKETT ST, Philadelphia, PA 19149

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timi I Edeki 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 Timi Edeki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dedicated Pennsylvania Holding, LLC

Same address

Specialist

6431 SACKETT ST
Philadelphia, PA 19149

Reassigned Medicare billing, Pennsylvania enrollment
58 clinicians in this Medicare group

NPI 1477053569 (305) 628-6117

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 19149 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 10

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

PETER RAJACIC

Internal Medicine