MADISON EDMONDS (PA) – Physician Assistant, NPI 1134881360

MADISON EDMONDS (PA) is a healthcare provider. based in Sugar land, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA14971 (TX). The NPI Number for MADISON EDMONDS (PA) is 1134881360

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MADISON EDMONDS (PA)
NPI
1134881360
Phone
(281) 274-7000
Address
16655 SOUTHWEST FWY STE 200
Enumeration Date
5 October 2021
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2816904678
Graduation Year
2021 (5 years ago)
PAC ID
7911396841
Group Practice PAC ID
5193239796
Professional Enrollment ID
I20211116001069
Address ID
TX774794728SU16811FWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for MADISON EDMONDS (PA)

  • 16655 SOUTHWEST FWY STE 200

    SUGAR LAND, TX 774792329

    Phone: (281) 274-7000

    Type: Mailing

  • 16811 SOUTHWEST FWY STE 200

    SUGAR LAND, TX 774794728

    Phone: (281) 690-4678

    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: 2021-11-16

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
I20211116001069IPhysician AssistantTXTBD

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
J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose20036$0
20610Aspiration and/or injection of fluid from large joint12637$0
View full utilization report →

Insurance plans in this area (ZIP 77479)

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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: 5193239796View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YTX
Internal MedicineIL
General SurgeryNJ
Family PracticeTX
Physician AssistantTX
H O S P I T A L I S TTX
H O S P I T A L I S TTX
Internal MedicineTX
Physician AssistantTX
Cardiovascular Disease (Cardiology), Internal MedicineTX

Reviews

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Frequently asked questions

Can I use this page to confirm MADISON EDMONDS (PA)'s NPI?
Yes. MADISON EDMONDS (PA) is listed with NPI 1134881360 in the public NPI dataset.
Is MADISON EDMONDS (PA) listed as active for patients and plans?
The listing shows MADISON EDMONDS (PA) as active in the NPI system.
What healthcare role does MADISON EDMONDS (PA) hold?
Scheduling teams often label MADISON EDMONDS (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MADISON EDMONDS (PA) list a practice location?
Patients near Sugar Land, Texas may find MADISON EDMONDS (PA) in results; validate coverage separately.
Is the information about MADISON EDMONDS (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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