DR. EMILY AMOS EDWARDS (MD) – Pediatric Radiology Physician, NPI 1184067076

DR. EMILY AMOS EDWARDS (MD) is a healthcare provider. based in Portland, Oregon. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD193001 (OR). The NPI Number for DR. EMILY AMOS EDWARDS (MD) is 1184067076

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. EMILY AMOS EDWARDS (MD)
NPI
1184067076
Phone
(206) 818-6121
Address
3720 SW BOND AVE UNIT 2118
Enumeration Date
10 April 2013
Last Update Date
22 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034184222
Graduation Year
2013 (13 years ago)
PAC ID
8729313788
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20190712000831
Address ID
OR970564023SC51377RDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

532 DIAGNOSTIC RADIOLOGY in OR

Provider Addresses for DR. EMILY AMOS EDWARDS (MD)

  • 3720 SW BOND AVE UNIT 2118

    PORTLAND, OR 972394577

    Phone: (206) 818-6121

    Type: Mailing

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393098

    Phone: (503) 494-8311

    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: 2019-07-12

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
I20190712000831IDiagnostic RadiologyORTBD

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 97239)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. EMILY AMOS EDWARDS (MD) for billing?
Administrative and clinical systems typically use NPI 1184067076 for DR. EMILY AMOS EDWARDS (MD).
Quick check: is DR. EMILY AMOS EDWARDS (MD) active?
Public NPPES data shows DR. EMILY AMOS EDWARDS (MD) with an active NPI status right now.
How should patients interpret DR. EMILY AMOS EDWARDS (MD)'s specialty?
The extract shows Pediatric Radiology Physician for DR. EMILY AMOS EDWARDS (MD). Clinical services aligned with this taxonomy classification.
Is DR. EMILY AMOS EDWARDS (MD) tied to Portland, Oregon?
If you are local to Portland, Oregon, DR. EMILY AMOS EDWARDS (MD) may be relevant to your search.
Can I export DR. EMILY AMOS EDWARDS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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