DR. KATHERINE ANNE EDWARDS (MD) – Dermatology Physician, NPI 1144858754

DR. KATHERINE ANNE EDWARDS (MD) is a healthcare provider. based in Detroit, Michigan. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. V0386 (TX). The NPI Number for DR. KATHERINE ANNE EDWARDS (MD) is 1144858754

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHERINE ANNE EDWARDS (MD)
NPI
1144858754
Phone
(313) 916-1601
Address
2799 W GRAND BLVD
Enumeration Date
30 March 2020
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS AT AUSTIN DELL MEDICAL SCHOOL
Secondary Phone
7262243400
Graduation Year
2020 (6 years ago)
PAC ID
5991121675
Group Practice PAC ID
6305817230
Professional Enrollment ID
I20240716002951
Address ID
TX782122469SA3910XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for DR. KATHERINE ANNE EDWARDS (MD)

  • 2799 W GRAND BLVD

    DETROIT, MI 482022689

    Phone: (313) 916-1601

    Type: Mailing

  • 3910 MCCULLOUGH AVE STE 106

    SAN ANTONIO, TX 782122469

    Phone: (726) 224-3400

    Fax: (830) 483-2226

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $385.

Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($62).

Total Amount

$385

General + Research + Ownership

Payments

16

Total payment records

General Amount

$385

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2024-07-16

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
I20240716002951IDermatologyTXTBD

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 48202)

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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: 6305817230View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds)WI
D E R M A T O L O G YTX
-TX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YLA
D E R M A T O L O G YTX
Dermatology, Micrographic Dermatologic Surgery (Mds)TX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

What NPI should I save for DR. KATHERINE ANNE EDWARDS (MD)?
Save NPI 1144858754 if you need a stable reference for DR. KATHERINE ANNE EDWARDS (MD).
Is DR. KATHERINE ANNE EDWARDS (MD) active in the national directory?
DR. KATHERINE ANNE EDWARDS (MD)'s public NPI profile is in an active state.
What does DR. KATHERINE ANNE EDWARDS (MD) treat or focus on?
Patients typically see DR. KATHERINE ANNE EDWARDS (MD) under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does DR. KATHERINE ANNE EDWARDS (MD) practice in Michigan?
You will see Detroit, Michigan on file for DR. KATHERINE ANNE EDWARDS (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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