DR. EDMUNDO SAMUEL JUSTINO MD NPI 1720156136

NPI Details

DR. Edmundo Samuel Justino, MD is a gastroenterology internal medicine in Prescott, AZ with 21 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Edmundo Samuel Justino, MD NPI is 1720156136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2004

The provider's business location address is:

802 AINSWORTH DR STE A
PRESCOTT, AZ
ZIP 86301-623
Phone: (928) 771-5548
Fax: (928) 771-5549

The NPI 1720156136 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
• Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
• Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
• Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
• Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
• Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
• Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
• Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
• Dilation of esophagus (HCPCS:43450)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Colonoscopy (HCPCS:NAN13)
• Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 12/1/2006 and was last updated on 9/29/2025.

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:

Other Identifiers

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