Active NPI
Edwin Maldonado, MD
- Interventional Pain Medicine Physician
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME92323
- Practice address
- 3400 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4352 - Phone
- (561) 578-4582
- NPI assigned
- Jul 27, 2006
- Last updated
- Nov 12, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME92323 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME92323 | FL | Primary |
Addresses
Primary practice location
3400 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4352
Mailing address
1211 Creekside Dr
Wellington, FL 33414-3137
Other practice location 1
1049 S State Road 7
Wellington, FL 33414-6135
Phone (561) 537-4582
Other names 1
- Edwin Burdette
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
- Pain Management
- Education
- Ponce School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3335 Burns Rd
Suite 300
Palm Beach Gardens, FL 33410-4311
Phone (561) 578-4582
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 21 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME92323 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Edwin W. Maldonado, M.D., P.L. | Interventional Pain Medicine | Current | Accepting new patients |
| Certified Spine and Pain Care LLC | Interventional Pain Medicine | Past | Accepting new patients |
| Dr. Edwin W. Maldonado, M.D., P.L. | Interventional Pain Medicine | Past | Accepting new patients |
| C & M Medical Services, Inc. | Past | Accepting new patients | |
| Huey P. Long Medical Center | Past | Accepting new patients |
Locations
160 Congress Park Dr
Ste 101
Delray Beach, FL 33445
Phone (561) 277-2369
6415 Lake Worth Rd
Ste 307
Greenacres, FL 33463
Phone (561) 327-6977
6415 Lake Worth Rd
Ste 302
Greenacres, FL 33463
3900 Hollywood Blvd
Ste 204
Hollywood, FL 33021
Phone (305) 306-0600
3345 Burns Rd
Ste 202
Palm Beach Gardens, FL 33410
Phone (561) 366-6777
3335 Burns Rd
Ste 300
Palm Beach Gardens, FL 33410
3400 Burns Rd
Ste 101
Palm Beach Gardens, FL 33410
Phone (561) 626-1159
1600 S Federal Hwy
Ste 611
Pompano Beach, FL 33062
Phone (954) 788-3700
1049 S State Road 7
Wellington, FL 33414
Phone (561) 537-4582
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HJBDAD/Endpoint/HJBDAD
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1184648362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 CREEKSIDE DR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BURNS RD STE 101",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104352",
"telephone_number": "561-578-4582"
}
],
"practiceLocations": [
{
"address_1": "1049 S State Road 7",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "FL",
"postal_code": "334146135",
"country_code": "US",
"telephone_number": "561-537-4582",
"fax_number": "561-432-4843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALDONADO",
"first_name": "EDWIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME92323",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME92323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EDWIN",
"last_name": "BURDETTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.