LANNY EDELSOHN (M.D.) – Neurology Physician, NPI 1174574305

LANNY EDELSOHN (M.D.) is a healthcare provider. based in Newark, Delaware. specializing in Neurology Physician. They hold the professional credentials M.D.. They hold a License No. C1-0D00629 (DE). The NPI Number for LANNY EDELSOHN (M.D.) is 1174574305

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
LANNY EDELSOHN (M.D.)
NPI
1174574305
Phone
(302) 731-3017
Address
774 CHRISTIANA RD
Enumeration Date
12 May 2006
Last Update Date
13 June 2013

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1967 (59 years ago)
PAC ID
0345290011
Group Practice PAC ID
9739097569
Professional Enrollment ID
I20091022000686
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LANNY EDELSOHN (M.D.)

  • Holiday Inn Express & Suites Wilmington-Newark, 1201, Christiana Road, Concord Towers, Newark, New Castle County, Delaware, 19713, United States

    SUITE 201

    NEWARK, DE 197134236

    Phone: (302) 731-3017

    Fax: (302) 266-9960

    Mailing address matches the actual address.

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: 2009-10-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091022000686INeurologyDETBD

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.

Verify on CMS Revalidation Lookup Tool

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 19713)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739097569View full group profile

Reviews

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Frequently asked questions

Is LANNY EDELSOHN (M.D.) listed with a National Provider Identifier?
Yes — LANNY EDELSOHN (M.D.) has NPI 1174574305 on file in the registry.
Is there an active status for LANNY EDELSOHN (M.D.)?
For scheduling context, LANNY EDELSOHN (M.D.) is shown as active in the registry.
How would a patient describe LANNY EDELSOHN (M.D.)'s focus?
For LANNY EDELSOHN (M.D.), the primary taxonomy reads as Neurology Physician. Clinical services aligned with this taxonomy classification.
Where in Delaware is LANNY EDELSOHN (M.D.) registered?
Use Newark, Delaware as the headline location for LANNY EDELSOHN (M.D.) here.
When was this NPI issued?
Enumeration for LANNY EDELSOHN (M.D.) is noted as May 12, 2006 where the registry provides it.

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