Active NPI
Edward Henry George Becker III, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Lithia, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- ME 116897
- Practice address
- 13837 Circa Crossing Dr
Lithia, FL 33547-4382 - Phone
- (813) 684-2663
- Fax
- (813) 685-6222
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME116897 | FL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ME 116897 | FL | Primary |
Addresses
Primary practice location
13837 Circa Crossing Dr
Lithia, FL 33547-4382
Mailing address
13837 Circa Crossing Dr
Lithia, FL 33547-4382
Phone (813) 684-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009249300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of Maryland School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6901 Simmons Loop
Suite 201
Riverview, FL 33578-9498
Phone (813) 684-2663
Hospital & facility affiliations
- Adventhealth Tampa
- Adventhealth Riverview
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 116897 | FL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Development Partners LLC | Current | Accepting new patients |
Locations
615 Vonderburg Dr
Brandon, FL 33511
Phone (813) 421-4663
13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855
13837 Circa Crossing Dr
Lithia, FL 33547
Phone (813) 534-0102
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Lithia, FL
- NPI 1740407121
-
- Ambulatory Surgical Clinic/Center
- Lithia, FL
- NPI 1306435904
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverview, FL
- NPI 1699345314
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1124162789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13837 CIRCA CROSSING DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "335474382",
"telephone_number": "813-684-2663",
"fax_number": "813-685-9178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13837 CIRCA CROSSING DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "335474382",
"telephone_number": "813-684-2663",
"fax_number": "813-685-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "EDWARD",
"middle_name": "HENRY GEORGE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME116897",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "FL",
"license": "ME 116897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009249300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lithia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.