LUKE MCBRIDE EDWARDS – General Practice Physician, NPI 1831693613
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
345 GENERAL PRACTICE in NY
Provider Addresses for LUKE MCBRIDE EDWARDS
St. Elizabeth's Medical Center, 736, Cambridge Street, Aberdeen, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States
SURGERY DEPT. CMP 2, ROOM 2041
BRIGHTON, MA 021352907
Phone:
Type: Mailing
27005 76th Ave
New Hyde Park, NY 110401402
Phone: (516) 562-2461
Type: Location
736 Cambridge St
Surgery Dept. CMP 2, room 2041
Brighton, MA 021352907
Phone: (617) 789-2990
Type: Location
PO BOX 2034
NEW HYDE PARK, NY 110408034
Phone:
Type: Mailing
660 LOUISIANA AVE
BROOKLYN, NY 112391526
Phone: (516) 515-0017
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: 2025-03-03
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 |
|---|---|---|---|---|
| I20250303002611 | I | General Practice | NY | 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 02135)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| Family Practice, Peripheral Vascular Disease | NC | |
| - | NC | |
| General Surgery | NC | |
| General Surgery | NC | |
| Family Practice | NC | |
| Family Practice, Peripheral Vascular Disease | NC | |
| General Surgery | NC | |
| Emergency Medicine | VA | |
| Family Practice, Peripheral Vascular Disease | DE |
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