EDGARDO S EMILIA (MD) – Internal Medicine Physician, NPI 1710950217

EDGARDO S EMILIA (MD) is a healthcare provider. based in Mount vernon, Illinois. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 036-095710 (IL). The NPI Number for EDGARDO S EMILIA (MD) is 1710950217

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
EDGARDO S EMILIA (MD)
NPI
1710950217
Phone
(618) 241-6015
Address
1009 S 42ND ST
Enumeration Date
7 February 2006
Last Update Date
14 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182416015
Graduation Year
1976 (50 years ago)
PAC ID
9638068901
Professional Enrollment ID
I20060117000526
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for EDGARDO S EMILIA (MD)

  • 1009, South 42nd Street, Mount Vernon, Jefferson County, Illinois, 62864, United States

    SUITE 1

    MOUNT VERNON, IL 628646218

    Phone: (618) 241-6015

    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: 2006-01-17

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
I20060117000526IInternal MedicineILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes25464$0
99214Established patient office or other outpatient visit, 30-39 minutes8843$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6649$0
99239Hospital discharge day management, more than 30 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 62864)

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Reviews

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Frequently asked questions

What is the registry number for EDGARDO S EMILIA (MD)?
The registry entry for EDGARDO S EMILIA (MD) shows NPI 1710950217.
Quick check: is EDGARDO S EMILIA (MD) active?
Public NPPES data shows EDGARDO S EMILIA (MD) with an active NPI status right now.
What services align with EDGARDO S EMILIA (MD)'s listing?
EDGARDO S EMILIA (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is EDGARDO S EMILIA (MD) tied to Mount Vernon, Illinois?
If you are local to Mount Vernon, Illinois, EDGARDO S EMILIA (MD) may be relevant to your search.
Who maintains EDGARDO S EMILIA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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