ANGELENA B. EDWARDS (M.D.) – Pediatric Urology Physician, NPI 1073856860
Pediatric Urology Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANGELENA B. EDWARDS (M.D.)
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (319) 356-0748
Type: Mailing
PO BOX 776879
CHICAGO, IL 606776879
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
3999 DUTCHMANS LN STE 6F
LOUISVILLE, KY 402074724
Phone: (502) 559-1670
Fax: (502) 349-1999
Type: Location
200 Hawkins Dr
Iowa City, IA 522421009
Phone: (319) 356-0748
Type: Location
105 E 9th St
Coralville, IA 522412209
Phone: (319) 467-2000
Fax: (319) 467-2410
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: 2024-11-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241106001312 | I | Urology | KY | 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 52242)
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