Mitchell Lee Edwards, MD
NPI 1063036804ActiveIndividual· Pediatrics· Dubuque, IA
Pediatrics (MD) in Dubuque, Iowa, licensed in IA, with an NPI issued in June 2020. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1063036804 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 7, 2020 |
| Last updated in NPPES | Jun 29, 2023 |
| Certified by provider | Jun 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | MD-51480 | IA |
| Pediatrics | 208000000X | R-11919 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (IA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pediatrics providers in Dubuque
- 1134108806
- 1811946320
- 1851704480
- 1528262136
- 1689653701
- 1588358113
- 1235583956
- 1992784540
- 1154316800
- 1346288073
- 1497846679
- 1942289574