Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1083718274 Deactivated / Inactive NPI Male Practitioner

Dr. Julius Eliezer Edlavitch , MD

Specialist • Fridley, MN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Julius Edlavitch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 11, 2006
NPI Deactivation Date February 12, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Julius Edlavitch, MD was a registered Specialist practicing in Fridley, MN. Throughout an active medical career spanning 20 years, Dr. Edlavitch provided care at the practice location at 500 OSBORNE RD NE until profile deactivation on 2026-02-12.

Practice Location & Contact Primary Location

Practice Address

500 Osborne Rd Ne
310

Fridley, MN 554322765

Telephone 7632362700
Fax 7632362710
Associated Practice Facility / Clinic
🏢 Daniel R Baker Md Pa Facility NPI 1700971942

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fridley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.2 Yrs
State Avg: 34.7 Yrs
Regional Practice Density
19 Specialists

Practicing in Fridley, MN (877 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 23511

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1326156050

Doctor of Medicine (M.D.)

NPI 1396852091

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated February 12, 2026

Record deactivated on February 12, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 500 OSBORNE RD NE, 310, FRIDLEY, MN 554322765 (Tel: 7632362700)

📍
Updated Business Mailing Address July 08, 2007

Registered at 500 OSBORNE RD NE, 310, FRIDLEY, MN 554322765 (Tel: 7632362700)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JULIUS EDLAVITCH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #23511 in MN)

🟢
Initial NPI Registration & Enumeration September 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Julius Edlavitch. Be the first to share your experience!

Sign in to leave a review for Dr. Julius Edlavitch

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1083718274
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2006
Last Update: July 08, 2007
Deactivation Date: February 12, 2026

Mailing Address

500 Osborne Rd Ne, 310

Fridley, MN 554322765

Phone: 7632362700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.