DR. EDWARD JOSEPH KILBANE (MD) – Psychosomatic Medicine Physician, NPI 1225287410
Psychosomatic Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,134 PSYCHIATRY in CA
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Provider Addresses for DR. EDWARD JOSEPH KILBANE (MD)
880, De Haro Street, Potrero Hill, San Francisco, California, 90103, United States
SAN FRANCISCO, CA 941072706
Phone: (917) 842-9581
Type: Mailing
401, Quarry Road, Stanford, Palo Alto, Santa Clara County, California, 94305-6015, United States
ROOM 2360
PALO ALTO, CA 943041419
Phone: (650) 498-4776
Type: Location
PO BOX 932127
CLEVELAND, OH 441930008
Phone: (216) 363-2570
Type: Mailing
2322 E 22ND ST STE 200
CLEVELAND, OH 441153100
Phone: (216) 363-2570
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150310001312 | I | Psychiatry | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94107)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | CA | 90792 | Psychiatric diagnostic evaluation with medical services | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nephrology, Internal Medicine | OH | |
| - | OH | |
| - | MI | |
| Nurse Practitioner | OH | |
| General Surgery, Anesthesiology, Critical Care (Intensivists) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | MN | |
| Nurse Practitioner | OH |
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