DR. EDWARD M JR. BARKSDALE (MD) – Pediatric Surgery Physician, NPI 1871565762

DR. EDWARD M JR. BARKSDALE (MD) is a healthcare provider. based in Oak lawn, Illinois. specializing in Pediatric Surgery Physician. They hold the professional credentials MD. They hold a License No. MD053529L (PA). The NPI Number for DR. EDWARD M JR. BARKSDALE (MD) is 1871565762

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD M JR. BARKSDALE (MD)
NPI
1871565762
Phone
(708) 684-5437
Address
4440 W 95th St
Enumeration Date
3 February 2006
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
2168441000
Graduation Year
1984 (42 years ago)
PAC ID
5799725636
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20070808000328

Contacts

Secure Messaging
ebarksdale410921@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

Provider Addresses for DR. EDWARD M JR. BARKSDALE (MD)

  • 4440 W 95th St

    Oak Lawn, IL 604532600

    Phone: (708) 684-5437

    Fax: (708) 684-4808

    Type: Location

  • 24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States

    3RD FLOOR

    EUCLID, OH 441171714

    Phone:

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 44106

    Phone: (216) 844-7874

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $188.

Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Cook Medical LLC ($108).

Total Amount

$188

General + Research + Ownership

Payments

4

Total payment records

General Amount

$188

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070808000328IGeneral SurgeryOHTBD
I20250113002137IGeneral SurgeryILTBD

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 60453)

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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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. EDWARD M JR. BARKSDALE (MD)?
DR. EDWARD M JR. BARKSDALE (MD) — NPI 1871565762 — is the standard way to identify this listing.
Is DR. EDWARD M JR. BARKSDALE (MD) listed as active for patients and plans?
The listing shows DR. EDWARD M JR. BARKSDALE (MD) as active in the NPI system.
What is DR. EDWARD M JR. BARKSDALE (MD) best known for clinically?
Directory data describes DR. EDWARD M JR. BARKSDALE (MD) with Pediatric Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. EDWARD M JR. BARKSDALE (MD) on a map?
Expect Oak Lawn, Illinois as a primary anchor for DR. EDWARD M JR. BARKSDALE (MD) unless the record lists multiple sites.
Why does DR. EDWARD M JR. BARKSDALE (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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