MARK A. EDELMAN M.D. – NPI #1063405819
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

MARK EDELMAN is a radiologist located in STAMFORD, CT. NPPES has assigned the NPI number 1063405819 to MARK EDELMAN on August 26, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 7 years ago on Jun 04, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK EDELMAN below.

NPI Profile for
MARK A. EDELMAN

NPI Number
1063405819
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK A. EDELMAN
Credentials
M.D.
Primary location
1290 SUMMER ST STE 2100
STAMFORD, CT 06905-5340
Phone: (855) 830-8346 Fax:
2 Other location(s):
40 Cross St Ste 320
Norwalk, CT 06851-4661
Phone: (855) 830-8346
700 White Plains Rd Ste 241
Scarsdale, NY 10583-5013
Phone: (855) 830-8346
Mailing address
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604-2901
Phone: (914) 682-6430 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for MARK EDELMAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERGROUP PTANIL212545
OTHERGROUP PTANIL202926
MEDICAIDCT008047540
MEDICAIDIL036094621
MEDICAIDNY01301766
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)
CT 51858
2085R0202X
- Radiology / Diagnostic Radiology
IL 036094621

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
NEW YORK UNIVERSITY SCHOOL OF MEDICINE - Graduated 1986
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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