Active NPI
Stewart G Eidelson, MD
- Orthopaedic Surgery Physician
- Delray Beach, FL
National Provider Identifier
1790727253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME0055593
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Delray Medical Center
- Bethesda Hospital East
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 105 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME55592 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Palm Orthospine Institute | Orthopaedic Surgery | Current | Accepting new patients |
| South Palm Orthospine Institute | Current | 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.
-
- Orthopaedic Surgery Physician
- Delray Beach, FL
- NPI 1598893885
FL, Orthopaedic Surgery
-
- Orthopaedic Surgery of the Spine Physician
- Boynton Beach, FL
- NPI 1730375346
-
- Orthopaedic Surgery of the Spine Physician
- Boca Raton, FL
- NPI 1639364912
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1558875575
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.