Individual provider Active NPI

Edward H Schlam, M.D.

  • Specialist
  • Plantation, FL
National Provider Identifier
1760567101
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME20199 Issued in FL
Practice address
10044 NW 1St CT
Plantation, FL 33324-7005
Phone
(954) 741-5600
Fax
(954) 572-8574
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME20199 FL Primary

Addresses

Primary practice location

10044 NW 1St CT
Plantation, FL 33324-7005

Mailing address

10044 NW 1St CT
Plantation, FL 33324-7005
Phone (954) 741-5600

Other identifiers 2

IdentifierTypeStateIssuer
ME20199OtherFLFLORIDA LICENSE
053828100MedicaidFL

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
I20120717000327 FL Practitioner - Dermatology 3678550621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward H. Schlam M.D., P.a.Group PAC ID 0446237457, 4 clinicians

Practice addresses (Care Compare)

10044 NW 1St Court
Plantation, FL 33324-7005
Phone (954) 741-5600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions134
Removal of skin cancer11
Skin biopsy80

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME20199FLMDSpecialist
20199FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward H. Schlam M.D., P.a. Specialist CurrentSince Oct 1, 1984 Accepting new patients

Locations

10044 NW 1st Ct
Plantation, FL 33324
Phone (954) 741-5600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760567101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10044 NW 1ST CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247005",
            "telephone_number": "954-741-5600",
            "fax_number": "954-572-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10044 NW 1ST CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247005",
            "telephone_number": "954-741-5600",
            "fax_number": "954-572-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAM",
        "first_name": "EDWARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME20199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "ME20199",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053828100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.