Individual provider Active NPI

Edwin Maldonado, MD

  • Interventional Pain Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1184648362
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME92323 Issued in FL
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000536 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 5294766937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Ponce School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Edwin W Maldonado MD PLGroup PAC ID 3577851476, 3 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion21
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92323FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Edwin W. Maldonado, M.D., P.L. Interventional Pain Medicine CurrentSince Oct 23, 2014 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.