Edward Re III, MD
NPI 1144675828ActiveIndividual· Pediatrics, Sports Medicine· Philadelphia, PA
Pediatrics, Sports Medicine (MD) in Philadelphia, Pennsylvania, licensed in PA, with an NPI issued in April 2016. Enrolled in Medicare as practitioner - sports medicine.
Overview
| NPI | 1144675828 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 29, 2016 |
| Last updated in NPPES | Jun 29, 2021 |
| Certified by provider | Jun 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Sports Medicine Primary | 2080S0010X | MD468533 | PA |
| Pediatrics | 208000000X | MT210381 | PA |
| Pediatrics, Sports Medicine | 2080S0010X | MT210381 | PA |
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 - Sports Medicine (PA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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