DR. CEAZON TRISMEGISTUS EDWARDS (M.D.) – Vascular Surgery Physician, NPI 1417396227

DR. CEAZON TRISMEGISTUS EDWARDS (M.D.) is a healthcare provider. based in Royal oak, Michigan. specializing in VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. U6228 (TX). The NPI Number for DR. CEAZON TRISMEGISTUS EDWARDS (M.D.) is 1417396227

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. CEAZON TRISMEGISTUS EDWARDS (M.D.)
NPI
1417396227
Phone
(812) 325-7609
Address
3601 W 13 MILE RD
Enumeration Date
14 June 2013
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2143454160
Graduation Year
2013 (13 years ago)
PAC ID
1951533884
Group Practice PAC ID
1951459080
Professional Enrollment ID
I20231020000577
Address ID
TX752314420DA8210XLNXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

242 VASCULAR SURGERY in MI

Provider Addresses for DR. CEAZON TRISMEGISTUS EDWARDS (M.D.)

  • 3601 W 13 MILE RD

    ROYAL OAK, MI 480736712

    Phone: (812) 325-7609

    Type: Location

  • 8210 WALNUT HILL LN STE 505

    DALLAS, TX 752314420

    Phone: (214) 345-4160

    Fax: (214) 345-4165

    Type: Location

  • 15030 7TH ST

    VICTORVILLE, CA 923953811

    Phone: (760) 951-0065

    Type: Location

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 $461.

Total Amount is formed as General ($461) + Research ($0) + Ownership ($0) = $461.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Cagent Vascular INC ($103).

Total Amount

$461

General + Research + Ownership

Payments

16

Total payment records

General Amount

$461

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

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: 2023-10-20

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
I20231020000577IVascular SurgeryTXTBD

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
96372Injection of drug or substance under skin or into muscle1711$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 48073)

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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: 1951459080View full group profile
NameSpecialtyState
Vascular SurgeryTX
Vascular Surgery, General SurgeryTX
Nurse PractitionerTX
Nurse PractitionerTX
Vascular SurgeryOH
Vascular Surgery, General SurgeryTX
-TX
Vascular SurgeryTX

Reviews

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Frequently asked questions

Can I cross-check DR. CEAZON TRISMEGISTUS EDWARDS (M.D.) using NPI 1417396227?
NPI 1417396227 belongs to DR. CEAZON TRISMEGISTUS EDWARDS (M.D.); compare other details if you need extra assurance.
Is DR. CEAZON TRISMEGISTUS EDWARDS (M.D.) still an active registrant?
DR. CEAZON TRISMEGISTUS EDWARDS (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. CEAZON TRISMEGISTUS EDWARDS (M.D.)?
DR. CEAZON TRISMEGISTUS EDWARDS (M.D.)'s record emphasizes Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. CEAZON TRISMEGISTUS EDWARDS (M.D.)?
Travel planning: use Royal Oak, Michigan as the reference point for DR. CEAZON TRISMEGISTUS EDWARDS (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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