DALE EDWARDS (DO) – Anesthesiology Physician, NPI 1154316701

DALE EDWARDS (DO) is a healthcare provider. based in Cincinnati, Ohio. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 34008029 (OH). The NPI Number for DALE EDWARDS (DO) is 1154316701

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DALE EDWARDS (DO)
NPI
1154316701
Phone
Not provided
Address
PO BOX 639619
Enumeration Date
20 September 2005
Last Update Date
6 March 2019

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5804363980
Graduation Year
1997 (29 years ago)
PAC ID
2466594783
Group Practice PAC ID
8426957523
Professional Enrollment ID
I20200818003597
Address ID
OK748203439AD1921XDRXX300
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

2,277 ANESTHESIOLOGY in OH

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Provider Addresses for DALE EDWARDS (DO)

  • PO BOX 639619

    CINCINNATI, OH 452639619

    Phone:

    Fax: (859) 655-8588

    Type: Mailing

  • Genesis Healthcare System, 2951, Maple Avenue, Zanesville, Muskingum County, Ohio, 43701, United States

    ZANESVILLE, OH 437011406

    Phone: (513) 672-3309

    Fax: (513) 672-3323

    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: 2020-08-18

PECOS data refreshed: 2026-06-15

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
I20200818003597IAnesthesiologyTXTBD

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 45263)

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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: 8426957523View full group profile
NameSpecialtyState
Physician AssistantOK
Emergency MedicineOK
Clinical Social WorkerOK
Certified Nurse Midwife (Cnm)OK
-FL
-OK
Family PracticeTX
Family PracticeTX
Emergency MedicineOK
P O D I A T R YVA

Reviews

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Frequently asked questions

What number should I use to identify DALE EDWARDS (DO) for billing?
Administrative and clinical systems typically use NPI 1154316701 for DALE EDWARDS (DO).
Does the public listing show DALE EDWARDS (DO) as active?
DALE EDWARDS (DO)'s NPI record reflects an active status in NPPES.
Which specialty label fits DALE EDWARDS (DO)?
NPPES ties DALE EDWARDS (DO) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DALE EDWARDS (DO) tied to Cincinnati, Ohio?
If you are local to Cincinnati, Ohio, DALE EDWARDS (DO) may be relevant to your search.
Who maintains DALE EDWARDS (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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