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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: August 09, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 5 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.