DR. KALEO C EDE M.D. NPI 1619058260

NPI Information

NPI: 1619058260
Provider Name: DR. KALEO C EDE, M.D.
Classification: Pediatrics - 2080P0216X
Entity Type: Individual

Specialization: Pediatric Rheumatology

PECOS Registration: Yes

Address:
1920 E CAMBRIDGE AVE
SUITE 200
PHOENIX, AZ
ZIP 85006
Phone: (602) 933-0909
Get Directions

DR. Kaleo C Ede, M.D. is a pediatric rheumatology pediatrics in Phoenix, AZ. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Kaleo C Ede, M.D. NPI is 1619058260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1920 E CAMBRIDGE AVE
SUITE 200
PHOENIX, AZ
ZIP 85006-459
Phone: (602) 933-0909
Fax: (602) 933-0911

The NPI 1619058260 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 2/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		A91852	CALIFORNIA	No
2	208000000X	Pediatrics		A91852	CALIFORNIA	No
3	2080P0216X	Pediatrics	Pediatric Rheumatology	A91852	CALIFORNIA	No
4	2080P0216X	Pediatrics	Pediatric Rheumatology	37734	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A918520	MEDICAID	CALIFORNIA
2	335953	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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