Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edward Re III, MD

Individual provider Pediatrics Physician · NPI 1144675828

Edward Re III, MD is a Sports Medicine in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Children's Surgical Associates Ltd, a 54-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 Civic Center Blvd Division Of Sports Medicine
Philadelphia, PA 19104-4319
Phone: (718) 598-0278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Sports Medicine Physician (primary) Taxonomy 2080S0010X · Licence MD468533 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence MT210381 (PA)
Pediatric Sports Medicine Physician Taxonomy 2080S0010X · Licence MT210381 (PA)

Record details

NPI number1144675828
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2016
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Children'S Surgical Associates Ltd — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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