Elizabeth F Callahan, M.D., LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME89181 Issued in FL

Practice address

7978 Cooper Creek Blvd
Suite 204
University Park, FL 34201-2141

Phone

(941) 308-7546

Fax

(941) 308-7550

NPI assigned

Sep 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

Dermatology

Education

University of Vermont College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elizabeth F. Callahan, M.D., LLCGroup PAC ID 5890755987, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: ecallahan@dcm.emadirect.md

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.

• Elizabeth F. Callahan, M.D., LLC

  • Specialist
  • Sarasota, FL
  • NPI 1376576454
  Medicare reassignment Care Compare group NPD
• Dermatology Group of Florida, P.a.

  • Dermatology Physician
  • South Miami, FL
  • NPI 1497806459
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1477548808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7978 COOPER CREEK BLVD",
            "address_2": "SUITE 204",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012141",
            "telephone_number": "941-308-7546",
            "fax_number": "941-308-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7978 COOPER CREEK BLVD",
            "address_2": "SUITE 204",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012141",
            "telephone_number": "941-308-7546",
            "fax_number": "941-308-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "ELIZABETH",
        "middle_name": "F",
        "credential": "M.D., LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME89181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1376576454",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER#",
            "identifier": "48310",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "00A58",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JANELLE BC#",
            "identifier": "145A6",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST LICENSE#",
            "identifier": "ME89181",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP PRACTICE PROVIDER NUMBER",
            "identifier": "00A58",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D1031789",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyesha Brown
• Bruce J Levine, DPM PA
• Brajha Burnett
• Katelyn Butler
• Steven Joseph Caldroney, DDS, MD
• William P Campbell, DMD
• Bryan Carlton, DDS
• Grace Cespedes
• Chastity Chyld Incorporated
• Chastity Chyld Incorporated

• Specialist in University Park, FL
• Providers in University Park, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.