DR. JOHN EDEEN III M.D.
NPI 1972578565
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in San Antonio, TX

Q: What is John Edeen's NPI number?

The NPI number for John Edeen is 1972578565. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Q: What is John Edeen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for John Edeen was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 February 17, 2006PECOS Enrolled

4499 MEDICAL DR, SUITE 235, SAN ANTONIO, TX 78229(210) 692-1613(210) 616-0290 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. John Edeen Iii M.d. NPPES

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

DR. JOHN EDEEN III M.D. (NPI 1972578565) is an individual pediatric orthopaedic surgery provider in San Antonio, Texas, licensed in Texas (K3719) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972578565

Entity TypeIndividualMale

Primary Taxonomy207XP3100X

Provider Legal NameDR. JOHN EDEEN IIICredential: M.D.

Location Address4499 MEDICAL DR, SUITE 235San Antonio, TX 78229-3735

Mailing Address4499 Medical Drive, Suite 235San Antonio, TX 78229-3712 · (210) 692-1613 · Fax (210) 616-0290

Phone(210) 692-1613

Fax(210) 616-0290

Sole ProprietorNo

Enumeration DateFebruary 17, 2006

Last NPPES UpdateAugust 22, 2011

✔ NPI 1972578565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

License✔ Licensed in TX · K3719

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

4499 MEDICAL DR, San Antonio, TX 78229

Open in Google Maps ↗

Other Identifiers 4

Other048514602TX · Tpi

Medicare UPINF96389

Medicaid048514602TX

Medicare PIN888056TX

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)

Dr. John Edeen Iii M.d. 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 Reassignments

Medicare enrollment records show John Edeen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Physician Practices, PLLC

5.5 mi

Surgery

15727 ANTHEM PKWY STE 600
San Antonio, TX 78249

Reassigned Medicare billing, Texas enrollment
227 clinicians in this Medicare group

NPI 1922252717 (210) 575-8501

Magella Medical Associates Billing, Inc.

86 mi

Neonatal-Perinatal Medicine

2400 ROUND ROCK AVE
Round Rock, TX 78681

Reassigned Medicare billing, Texas enrollment
432 clinicians in this Medicare group

NPI 1083631071 (512) 341-1000

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

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. ROBERT P THOMAS M.D.

Surgery (Pediatric Surgery)

4499 MEDICAL DR, SUITE 347
SAN ANTONIO, TX 78229

Bexar County (210) 615-8757

CHARLES T GAY M.D.

Pediatrics

4499 MEDICAL DR, STE 396
SAN ANTONIO, TX 78229

Bexar County (210) 614-3737

KRISTIE YOUNG BORGMAN MD

Pediatrics (Pediatric Cardiology)

4499 MEDICAL DR, #289
SAN ANTONIO, TX 78229

Bexar County (210) 614-3264

DR. FRANK M ROBERTSON M.D.

Surgery (Pediatric Surgery)

4499 MEDICAL DR, SUITE 347
SAN ANTONIO, TX 78229

Bexar County (210) 615-8757

DR. JAMES EDWARD FRANCO DDS, MD

Dentist (Oral and Maxillofacial Surgery)

4499 MEDICAL DR, SUITE 190
SAN ANTONIO, TX 78229

Bexar County (210) 614-3915

CECILIA ALEJANDRA GARCIA DE MITCHELL MD

Plastic Surgery

4499 MEDICAL DR, SUITE 347
SAN ANTONIO, TX 78229

Bexar County (210) 615-0068

DR. VINCENT AUGUST CALDAROLA M.D.

Specialist

4499 MEDICAL DR, SUITE 250
SAN ANTONIO, TX 78229

Bexar County (210) 614-3565

CHILDREN'S HEMATOLOGY & ONCOLOGY CENTER

Pediatrics (Pediatric Hematology-Oncology)

4499 MEDICAL DR, SUITE 260
SAN ANTONIO, TX 78229

Bexar County (210) 616-0800

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 John Edeen's NPI number?

The NPI number for John Edeen is 1972578565. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is John Edeen located?

John Edeen practices at 4499 Medical Dr Suite 235, San Antonio, TX 78229. The listed phone number is (210) 692-1613.

What is John Edeen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is John Edeen enrolled in Medicare?

Yes. John Edeen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Edeen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Edeen reassigns Medicare benefits to 2 organizations: Methodist Physician Practices, PLLC (San Antonio, TX) and Magella Medical Associates Billing, Inc. (Round Rock, TX). Each 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 John Edeen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Edeen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list John Edeen 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 John Edeen was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.