EDWARD JAMES CALLAHAN III MD
NPI 1255828166
General Practice in Palm Bay, FL
NPI Status: Active since April 16, 2018
Contact Information
3425 BAYSIDE LAKES BLVD SE # 10310114
PALM BAY, FL
ZIP 32909
Phone: (385) 229-9889
- Individual
- Male
- Years of Experience 8
- General Practice
- May Accept Medicare Approved Payment
- PECOS Enrolled
About EDWARD CALLAHAN
This page provides the complete NPI Profile along with additional information for Edward Callahan, a primary care provider established in Palm Bay, Florida with a medical specialization in General Practice and more than 8 years of experience. He graduated from University Of Washington School Of Medicine in 2018. The healthcare provider is registered in the NPI registry with number 1255828166 assigned on April 2018. The practitioner's primary taxonomy code is 208D00000X with license number ME171043 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1255828166
- Provider Name
- EDWARD JAMES CALLAHAN III MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3425 BAYSIDE LAKES BLVD SE # 10310114 PALM BAY, FL 32909
- Location Phone
- (385) 229-9889
- Mailing Address
- 10281 BENTLEY OAKS AVE LAS VEGAS, NV 89135
- Mailing Phone
- (385) 229-9889
- Medical School Name
- UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
- Graduation Year
- 2018
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-16-2018
- Last Update Date
- 07-25-2025
- Code Navigator
A primary care provider (PCP) like Edward Callahan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Secondary Locations
- 260 Crandon Blvd # C33
Key Biscayne, FL 33149
(385) 229-9889
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME171043
- License State
- FL
- Taxonomy Description
- 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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 11427675-1205 (UT) |
Medicare Participation & PECOS Enrollment Status
Edward Callahan is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Edward Callahan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2163855131
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250820003732
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255828166, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
PALM BAY, FL 32909
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255828166, enumerated as an "individual" on April 16, 2018.
The provider is located at 3425 BAYSIDE LAKES BLVD SE # 10310114 PALM BAY, FL 32909 and the phone number is (385) 229-9889.
General Practice with taxonomy code 208D00000X.
