Edward James Callahan III, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME171043 Issued in FL

Practice address

3425 Bayside Lakes Blvd SE # 10310114
Palm Bay, FL 32909-6867

Phone

(385) 229-9889

NPI assigned

Apr 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

General Practice

Education

University of Washington School of Medicine, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Callahan Healthcare Partners PC

  • General Practice Physician
  • South San Francisco, CA
  • NPI 1265323596
  Medicare reassignment NPD Authorized official
• Actamd PLLC

  • Public Health & General Preventive Medicine Physician
  • Palm Bay, FL
  • NPI 1649161977
  NPD Authorized official
• Callahanmd

  • General Practice Physician
  • Palm Bay, FL
  • NPI 1124814223
  NPD Authorized official
• Marion Internal Medicine Associates

  • Internal Medicine Physician
  • Ocala, FL
  • NPI 1023491057
  NPD (past)

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1255828166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10281 BENTLEY OAKS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352037",
            "telephone_number": "385-229-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 BAYSIDE LAKES BLVD SE # 10310114",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096867",
            "telephone_number": "385-229-9889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Crandon Blvd # C33",
            "address_purpose": "LOCATION",
            "city": "Key Biscayne",
            "state": "FL",
            "postal_code": "331491536",
            "country_code": "US",
            "telephone_number": "385-229-9889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME171043",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "11427675-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byron Loving Little Angels LLC
• Maryuri Cadavid
• Lucienne Cajuste Delva
• Karen Janeiro Calcada, CNA
• Brianna Caldeira
• Callahanmd
• Carolyn Calloway Jennings
• Maggie Cameron
• Tawana Campbell, COTA
• Chaira Zuriel Cancel Marquez

• General Practice Physician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.