Individual provider Active NPI

Michael Ednie, M.D.

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1023321072
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME118264 Issued in FL
Practice address
709 SW 17TH St
Fort Lauderdale, FL 33315-1608
Phone
(203) 517-8101
NPI assigned
Jul 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2016044547 MO
Family Medicine Physician 207Q00000X ME118264 FL Primary
Family Medicine Physician 207Q00000X 58362 AZ
Family Medicine Physician 207Q00000X U0577 TX

Addresses

Primary practice location

709 SW 17TH St
Fort Lauderdale, FL 33315-1608

Mailing address

709 SW 17TH St
Fort Lauderdale, FL 33315-1608
Phone (203) 517-8101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO, AZ, PA, TX5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20140812001395 FL Practitioner - Family Practice 6002042660 Reassigns benefits to 4 organizations
I20170110000443 MO Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Hospitalist 6002042660 Reassigns benefits to 1 organization
I20191017001778 AZ Practitioner - Hospitalist 6002042660 Reassigns benefits to 1 organization
I20250819005253 PA Practitioner - Family Practice 6002042660 Reassigns benefits to 1 organization
I20260429001290 TX Practitioner - Family Practice 6002042660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Infusion and Injection Center IncGroup PAC ID 2062911696, 2 clinicians

Practice addresses (Care Compare)

906 Eden Dr
Inverness, FL 34452-5934
Phone (352) 503-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U0577TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coral Springs Physician Services, LLC Hospitalist CurrentSince Nov 16, 2016 Accepting new patients
Butler Physician Services, LLC Hospitalist CurrentSince Apr 15, 2018 Accepting new patients
Hni Medical Services of Florida, LLC Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Glimmer Medical Group, P.D. CurrentSince Jun 15, 2025 Accepting new patients
Glimmer Medical Group, P.C. CurrentSince Jun 15, 2025 Accepting new patients
City of Hope Medical Group of Arizona LLC CurrentSince Oct 1, 2019 Accepting new patients
Citrus Infusion and Injection Center, Inc. CurrentSince Sep 30, 2025 Accepting new patients
Fort Lauderdale Physician Services, LLC Hospitalist CurrentSince Nov 16, 2016 Accepting new patients
Steadyhand Medical Group FL PA Past Accepting new patients
Hospitalist Medicine Physicians of Connecticut - TCS Family Medicine Past Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

906 Eden Dr
Inverness, FL 34452
Phone (352) 503-2442

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

6375 Penn Ave
Ste B1135
Pittsburgh, PA 15206
Phone (917) 439-7134

539 W Commerce St
Dallas, TX 75208
Phone (385) 377-9352

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: michael.ednie@892612864966660.direct.elationemr.com
  • Direct secure messaging: michael.ednie.1@33677.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1023321072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 SW 17TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151608",
            "telephone_number": "203-517-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 SW 17TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151608",
            "telephone_number": "203-517-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDNIE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016044547",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME118264",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "58362",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U0577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.