ELIJAH WADE RIDDLE (M.D.) – Surgery Physician, NPI 1609136993

ELIJAH WADE RIDDLE (M.D.) is a healthcare provider. based in Lebanon, Pennsylvania. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD454180 (PA). The NPI Number for ELIJAH WADE RIDDLE (M.D.) is 1609136993

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ELIJAH WADE RIDDLE (M.D.)
NPI
1609136993
Phone
(717) 270-7908
Address
735 NORMAN DR STE 3
Enumeration Date
21 May 2012
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9739720037
Graduation Year
2012 (14 years ago)
PAC ID
3577853324
Group Practice PAC ID
9830003417
Professional Enrollment ID
I20230110000470
Address ID
NJ071073000NE30XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Digital endpointsOther names

2,001 GENERAL SURGERY in PA

Provider Addresses for ELIJAH WADE RIDDLE (M.D.)

  • 735 NORMAN DR STE 3

    LEBANON, PA 170427559

    Phone: (717) 270-7908

    Fax: (717) 272-1734

    Type: Location

  • 3400 SPRUCE ST

    PHILADELPHIA, PA 191044206

    Phone: (215) 662-6156

    Type: Mailing

  • 3803 W CHESTER PIKE STE 160

    NEWTOWN SQUARE, PA 190732336

    Phone:

    Type: Mailing

  • 100 E LANCASTER AVE

    SUITE 275 LANKENAU MED SCI BLDG

    WYNNEWOOD, PA 190963450

    Phone: (610) 642-1908

    Fax: (610) 642-6808

    Type: Location

  • 735 Norman Dr Ste 3

    Lebanon, PA 170427559

    Phone: (717) 270-7908

    Fax: (717) 272-1734

    Type: Location

  • 3401 Civic Center Blvd

    Division of Surgery

    Philadelphia, PA 191044319

    Phone: (215) 662-6156

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $8.

Total Amount is formed as General ($8) + Research ($0) + Ownership ($0) = $8.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($8).

Total Amount

$8

General + Research + Ownership

Payments

1

Total payment records

General Amount

$8

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-01-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191009000483IGeneral SurgeryPATBD
I20230110000470IGeneral SurgeryNJTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1912$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 17042)

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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: 9830003417View full group profile
NameSpecialtyState
-NJ
-NJ
Nephrology, Internal MedicineNJ
Vascular Surgery, General SurgeryNJ
Cardiovascular Disease (Cardiology), Internal MedicineNJ
Internal MedicineRI
O B S T E T R I C S/ G Y N E C O L O G YNJ
Internal MedicineNJ
-NJ
O B S T E T R I C S/ G Y N E C O L O G YNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for ELIJAH WADE RIDDLE (M.D.)?
ELIJAH WADE RIDDLE (M.D.) — NPI 1609136993 — is the standard way to identify this listing.
Can I rely on ELIJAH WADE RIDDLE (M.D.) being an active provider?
As of the registry snapshot, ELIJAH WADE RIDDLE (M.D.) is marked active.
What taxonomy line describes ELIJAH WADE RIDDLE (M.D.)?
For research purposes, treat ELIJAH WADE RIDDLE (M.D.) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does ELIJAH WADE RIDDLE (M.D.) serve?
ELIJAH WADE RIDDLE (M.D.)'s listing highlights Lebanon, Pennsylvania; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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