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DR. MICAH BOAZ OBADIAH EDWIN MD
NPI 1033430327
General Practice in Lauderdale Lakes, FL

Active since June 21, 2010PECOS EnrolledAccepts Medicare Assignment
4850 W OAKLAND PARK BLVD STE 224, LAUDERDALE LAKES, FL 33313(786) 214-2001 Get Directions Write a Review

NPPES record last updated: March 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 8, 2026, Apr 8, 2021, Jul 10, 2020 (3 updates tracked since 2020).

About Dr. Micah Boaz Obadiah Edwin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICAH BOAZ OBADIAH EDWIN MD (NPI 1033430327) is an individual general practice provider in Lauderdale Lakes, Florida, licensed in Florida (ME143503) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1033430327
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MICAH BOAZ OBADIAH EDWINCredential: MD
Location Address4850 W OAKLAND PARK BLVD STE 224Lauderdale Lakes, FL 33313-7261
Mailing Address4850 W Oakland Park Blvd Ste 224Lauderdale Lakes, FL 33313-7261 · (954) 835-5863 · Fax (954) 800-6038
Phone(786) 214-2001
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 21, 2010
Last NPPES UpdateMarch 8, 20263 updates tracked since enumeration
NPPES CertifiedMarch 8, 2026
✔ NPI 1033430327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ME143503✔ Licensed in NY · 261987✔ Licensed in NC · 2010-01073
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4850 W OAKLAND PARK BLVD STE 224, Lauderdale Lakes, FL 33313
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Micah Boaz Obadiah Edwin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294159653
PECOS Enrollment IDI20200720001285
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Micah Edwin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medwin PA
Same address
Primary Care
4850 W OAKLAND PARK BLVD STE 224
Lauderdale Lakes, FL 33313
  • Reassigned Medicare billing, Florida enrollment
NPI 1275168650 (786) 214-2001
Fm Woundcare LLC
18 mi
Wound Care
6601 PARK OF COMMERCE BLVD
Boca Raton, FL 33487
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1720911530 (310) 955-8213
Signify Health Medical Associates, PLLC
1,103 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDWIN PA
Clinic/Center (Primary Care)
4850 W OAKLAND PARK BLVD STE 224
LAUDERDALE LAKES, FL 33313
Broward County (786) 214-2001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micah Edwin's NPI number?

The NPI number for Micah Edwin is 1033430327. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Where is Micah Edwin located?

Micah Edwin practices at 4850 W Oakland Park Blvd Ste 224, Lauderdale Lakes, FL 33313. The listed phone number is (786) 214-2001.

What is Micah Edwin's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Micah Edwin enrolled in Medicare?

Yes. Micah Edwin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Micah Edwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micah Edwin reassigns Medicare benefits to 3 organizations: Medwin PA (Lauderdale Lakes, FL), Fm Woundcare LLC (Boca Raton, FL) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Micah Edwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Micah Edwin was last updated on March 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.