DR. SAMUEL B. EDELMAN (D.O.) – Pediatric Critical Care Medicine Physician, NPI 1629064134
Pediatric Critical Care Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. SAMUEL B. EDELMAN (D.O.)
Columbus Post Office, 5th Street, Columbus, Bartholomew County, Indiana, 47201, United States
COLUMBUS, GA 319021038
Phone: (706) 660-6148
Fax: (706) 660-2843
Type: Mailing
Midtown Medical Center, 710, Center Street, Rose Hill, Columbus, Muscogee County, Georgia, 31904, United States
COLUMBUS, GA 31901
Phone: (706) 571-1220
Fax: (706) 571-1070
Type: Location
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 450-6063
Fax: (904) 539-4091
Type: Mailing
1201 Langhorne Newtown Rd
Langhorne, PA 190471201
Phone: (215) 710-2100
Type: Location
5151 N 9TH AVE
PENSACOLA, FL 325048721
Phone: (850) 416-4970
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: 2021-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031212000178 | I | Pediatric Medicine | LA | TBD |
| I20170120000164 | I | Critical Care (Intensivists) | VA | TBD |
| I20181228002070 | I | Pediatric Medicine | DC | TBD |
| I20200513002739 | I | Critical Care (Intensivists) | FL | TBD |
| I20211006000910 | I | Pediatric Medicine | PA | TBD |
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.
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 31902)
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