PROF. ELAZER R. EDELMAN (M.D., PH.D.) – Cardiovascular Disease Physician, NPI 1659369460

PROF. ELAZER R. EDELMAN (M.D., PH.D.) is a healthcare provider. based in Brookline, Massachusetts. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D., PH.D.. They hold a License No. 55990 (MA). The NPI Number for PROF. ELAZER R. EDELMAN (M.D., PH.D.) is 1659369460

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
PROF. ELAZER R. EDELMAN (M.D., PH.D.)
NPI
1659369460
Phone
(617) 253-1569
Address
30 WARREN ST
Enumeration Date
6 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
6177325500
Graduation Year
1983 (43 years ago)
PAC ID
3971517533
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20060202000715
Address ID
MA021156110BO75XXXSTXX300
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

1,398 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MA

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Provider Addresses for PROF. ELAZER R. EDELMAN (M.D., PH.D.)

  • 30, Warren Street, Brookline, Norfolk County, Massachusetts, 02445, United States

    BROOKLINE, MA 024455919

    Phone: (617) 253-1569

    Fax: (617) 253-2514

    Type: Mailing

  • 75, Francis Street, Longwood, Longwood Medical and Academic Area, Boston, Suffolk County, Massachusetts, 02115, United States

    BOSTON, MA 021156110

    Phone: (617) 253-1569

    Fax: (617) 253-2514

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $5,121.

Total Amount is formed as General ($5,121) + Research ($0) + Ownership ($0) = $5,121.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: ABIOMED ($5,017).

Total Amount

$5,121

General + Research + Ownership

Payments

8

Total payment records

General Amount

$5,121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

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: 2006-02-02

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
I20060202000715ICardiovascular Disease (Cardiology)MATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,048853$0
99291Critical care, first 30-74 minutes21754$0
99292Critical care, each additional 30 minutes8125$0
View full utilization report →

Insurance plans in this area (ZIP 02445)

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Provider's Procedures

PROF. ELAZER R. EDELMAN (M.D., PH.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1414

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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

Does PROF. ELAZER R. EDELMAN (M.D., PH.D.) have a public NPI I can cite?
Public records show PROF. ELAZER R. EDELMAN (M.D., PH.D.) under NPI 1659369460.
Does the public listing show PROF. ELAZER R. EDELMAN (M.D., PH.D.) as active?
PROF. ELAZER R. EDELMAN (M.D., PH.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret PROF. ELAZER R. EDELMAN (M.D., PH.D.)'s specialty?
The extract shows Cardiovascular Disease Physician for PROF. ELAZER R. EDELMAN (M.D., PH.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to PROF. ELAZER R. EDELMAN (M.D., PH.D.)?
PROF. ELAZER R. EDELMAN (M.D., PH.D.) is associated with Brookline, Massachusetts in the same public data insurers reference.
Can I export PROF. ELAZER R. EDELMAN (M.D., PH.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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