DR. JOHN EDEEN III M.D.
NPI 1972578565
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in San Antonio, TX
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
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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).
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.
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
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.
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 14 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.
# Dr. John Edeen III, M.D. · NPI 1972578565
Pediatric Orthopaedic Surgery physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since February 17, 2006.
## Identity
- **NPI:** 1972578565 (Entity type: Individual)
- **Enumerated:** February 17, 2006
- **Primary specialty:** Orthopaedic Surgery - Pediatric Orthopaedic Surgery · taxonomy 207XP3100X
- **State license:** K3719 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4499 MEDICAL DR, SUITE 235, San Antonio, TX 78229-3735
- **Phone:** (210) 692-1613 · **Fax:** (210) 616-0290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 22, 2011
- **Other identifiers:** Other 048514602 (TX); Medicare UPIN F96389; Medicaid 048514602 (TX); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1972578565) · Data from the CMS NPPES public registry.