EDWARD HUNTER REDD (MD) – Internal Medicine Physician, NPI 1578597647

EDWARD HUNTER REDD (MD) is a healthcare provider. based in Logan, Utah. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 180675-1205 (UT). The NPI Number for EDWARD HUNTER REDD (MD) is 1578597647

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD HUNTER REDD (MD)
NPI
1578597647
Phone
(435) 792-6491
Address
655 E 1300 N
Enumeration Date
11 July 2006
Last Update Date
29 October 2018

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
4357520750
Graduation Year
1986 (40 years ago)
PAC ID
0749204816
Group Practice PAC ID
0840102356
Professional Enrollment ID
I20060117000790
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for EDWARD HUNTER REDD (MD)

  • East 1300 North, Logan, Cache County, Utah, 84341, United States

    LOGAN, UT 84341

    Phone: (435) 792-6491

    Mailing address matches the actual address.

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: 2006-01-17

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
I20060117000790IInternal MedicineUTTBD

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 84341)

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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: 0840102356View full group profile
NameSpecialtyState
-UT
Clinical Social WorkerUT
Nurse PractitionerUT
Clinical PsychologistUT
Nurse PractitionerNV
Nurse PractitionerUT
Clinical Social WorkerUT
Clinical Social WorkerUT
Mental Health CounselorUT
Marriage And Family TherapistUT

Reviews

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Frequently asked questions

Can I cross-check EDWARD HUNTER REDD (MD) using NPI 1578597647?
NPI 1578597647 belongs to EDWARD HUNTER REDD (MD); compare other details if you need extra assurance.
Is EDWARD HUNTER REDD (MD) shown as active in public data?
Registry records indicate EDWARD HUNTER REDD (MD) maintains an active NPI.
What expertise is attributed to EDWARD HUNTER REDD (MD)?
EDWARD HUNTER REDD (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is EDWARD HUNTER REDD (MD) associated with Logan?
Public fields place EDWARD HUNTER REDD (MD) around Logan, Utah. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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