Individual provider Active NPI

Stewart G Eidelson, MD

  • Orthopaedic Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1790727253
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0055593 Issued in FL
Practice address
15300 Jog Rd
Suite 107-108
Delray Beach, FL 33446-2164
Phone
(561) 742-5959
Fax
(561) 734-2226
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0055593 FL Primary
Orthopaedic Surgery Physician 207X00000X G89325 CA

Addresses

Primary practice location

15300 Jog Rd
Suite 107-108
Delray Beach, FL 33446-2164

Mailing address

15300 Jog Rd
Suite 107-108
Delray Beach, FL 33446-2164
Phone (561) 742-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070206000080 FL Practitioner - Orthopedic Surgery 5799787669 Reassigns benefits to 1 organization
I20180515002183 NY Practitioner - Orthopedic Surgery 5799787669 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Palm Orthospine InstituteGroup PAC ID 4587765433, 4 clinicians

Practice addresses (Care Compare)

15300 S Jog Rd
Suite 107108
Delray Beach, FL 33446-2162
Phone (561) 742-5959

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, West Palm Beach, FL, CCN 103158
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion105
Laminectomy or laminotomy (partial removal of spine bones)111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME55592FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Palm Orthospine Institute Orthopaedic Surgery CurrentSince Jan 5, 2007 Accepting new patients
South Palm Orthospine Institute CurrentSince Jan 5, 2007 Accepting new patients
South Palm Orthospine Institute Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1790727253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 JOG RD",
            "address_2": "SUITE 107-108",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462164",
            "telephone_number": "561-742-5959",
            "fax_number": "561-734-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 JOG RD",
            "address_2": "SUITE 107-108",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462164",
            "telephone_number": "561-742-5959",
            "fax_number": "561-734-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDELSON",
        "first_name": "STEWART",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0055593",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G89325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.