Kelly Edoba Edebiri, MD - Medicare Internal Medicine in Newark, NJ

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Kelly Edoba Edebiri, MD is a medicare enrolled "Internal Medicine" physician in Newark, New Jersey. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Rwjbh Emergency Medicine Associates, Llc, North Bergen Hospitalists and his current practice location is 201 Lyons Ave, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (646) 258-7910.

Kelly Edoba Edebiri is licensed to practice in New Jersey (license number 25MA10602800) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386007581.

Contact Information

Kelly Edoba Edebiri, MD
201 Lyons Ave,
Newark, NJ 07112-2027
(646) 258-7910
Not Available

Map and Direction




Physician's Profile

Full NameKelly Edoba Edebiri
GenderMale
SpecialityInternal Medicine
Experience8 Years
Location201 Lyons Ave, Newark, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Edoba Edebiri graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1386007581
  • Provider Enumeration Date: 04/04/2016
  • Last Update Date: 06/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6103153663
  • Enrollment ID: I20190807001886

Medical Identifiers

Medical identifiers for Kelly Edoba Edebiri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386007581NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA10602800 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hudson Regional HospitalSecaucus, NJHospital
Newark Beth Israel Medical CenterNewark, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rwjbh Emergency Medicine Associates, Llc0941612840647
North Bergen Hospitalists600210797611

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Edoba Edebiri allows following entities to bill medicare on his behalf.
Entity NameSt Josephs Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497791297
PECOS PAC ID: 9739171984
Enrollment ID: O20040330001612
Entity NameOptum Medical Care Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578665048
PECOS PAC ID: 3072650290
Enrollment ID: O20091021000129
Entity NameCogent Healthcare Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629304290
PECOS PAC ID: 6608918867
Enrollment ID: O20100126000691
Entity NameNorth Bergen Hospitalists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689028946
PECOS PAC ID: 6002107976
Enrollment ID: O20160623001331
Entity NameHospitalist Medicine Physicians Of New Jersey - Paterson, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821576455
PECOS PAC ID: 1153671383
Enrollment ID: O20180907002361
Entity NameHudson Premier Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548809221
PECOS PAC ID: 4688095367
Enrollment ID: O20200604002360
Entity NameRwjbh Emergency Medicine Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912510041
PECOS PAC ID: 0941612840
Enrollment ID: O20201217002547

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Edoba Edebiri is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Edoba Edebiri, MD
15 William St Apt 303,
Newark, NJ 07102-2705

Ph: (646) 258-7910		Kelly Edoba Edebiri, MD
201 Lyons Ave,
Newark, NJ 07112-2027

Ph: (646) 258-7910

Reviews and Comments


Internal Medicine Doctors in Newark, NJ

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Marc H. Lavietes, M.D.
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Dr. Hoi-wing Susanna Yim, M.D.
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Michelle Evans-pontrelli, MD
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Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 516-491-1202    
Tharakeswari Selvakumar, MD, PHD
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Practice Location: 150 Bergen St # Uhi-248, Newark, NJ 07103
Phone: 973-972-6056    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.