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EDWARD JAMES CALLAHAN III MD
NPI 1255828166
General Practice in Palm Bay, FL

Active since April 16, 2018PECOS Enrolled
3425 BAYSIDE LAKES BLVD SE # 10310114, PALM BAY, FL 32909(385) 229-9889 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, Nov 8, 2024, Sep 12, 2019 and 1 more (4 updates tracked since 2018).

About Edward James Callahan Iii Md NPPES

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

EDWARD JAMES CALLAHAN III MD (NPI 1255828166) is an individual general practice provider in Palm Bay, Florida, licensed in Florida (ME171043) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Key Biscayne, and is a graduate of University Of Washington School Of Medicine (2018).

NPPES Registry Identity

NPI1255828166
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameEDWARD JAMES CALLAHAN IIICredential: MD
Location Address3425 BAYSIDE LAKES BLVD SE # 10310114Palm Bay, FL 32909-6867
Mailing Address10281 Bentley Oaks AveLas Vegas, NV 89135-2037 · (385) 229-9889
Phone(385) 229-9889
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2018
Enumeration DateApril 16, 2018
Last NPPES UpdateJuly 25, 20254 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1255828166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME171043
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
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 11427675-1205 (UT)
3425 BAYSIDE LAKES BLVD SE # 10310114, Palm Bay, FL 32909
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Secondary Practice Location 1

Location 1260 Crandon Blvd # C33Key Biscayne, FL 33149-1536 · Phone (385) 229-9889

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward James Callahan Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163855131
PECOS Enrollment IDI20250820003732
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 2

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

CALLAHANMD
General Practice
3425 BAYSIDE LAKES BLVD SE # 10310114
PALM BAY, FL 32909
Brevard County (385) 229-9889
ACTAMD PLLC
Preventive Medicine (Public Health & General Preventive Medicine)
3425 BAYSIDE LAKES BLVD SE # 10310114
PALM BAY, FL 32909
Brevard County (385) 229-9889

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 Edward Callahan's NPI number?

The NPI number for Edward Callahan is 1255828166. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Edward Callahan located?

Edward Callahan practices at 3425 Bayside Lakes Blvd SE # 10310114, Palm Bay, FL 32909. The listed phone number is (385) 229-9889.

What is Edward Callahan's specialty?

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

Is Edward Callahan enrolled in Medicare?

Yes. Edward Callahan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Callahan was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.