Individual provider Active NPI

Ian M. Schaja, DO

  • Pain Medicine (Anesthesiology) Physician
  • Boca Raton, FL
National Provider Identifier
1881674604
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
OS0007011 Issued in FL
Practice address
501 Glades Rd
Boca Raton, FL 33432-1419
Phone
(561) 939-5500
Fax
(561) 939-0555
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X OS0007011 FL Primary

Addresses

Primary practice location

501 Glades Rd
Boca Raton, FL 33432-1419

Mailing address

501 Glades Rd
Boca Raton, FL 33432-1419
Phone (561) 939-5500

Other identifiers 2

IdentifierTypeStateIssuer
252920300MedicaidFL
57425OtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ian.schaja@sep.eclinicaldirectplus.com

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
I20040910000521 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1658348693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lucie Anesthesia Associates LLCGroup PAC ID 4284792706, 79 clinicians

Practice addresses (Care Compare)

1801 W Sample Rd
Suite 200
Deerfield Beach, FL 33064-1370
Phone (954) 939-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0007011FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lucie Anesthesia Associates LLC Current Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Feb 1, 2015 Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Feb 1, 2015 Accepting new patients

Locations

501 Glades Rd
Boca Raton, FL 33432
Phone (561) 362-4400

1601 Clint Moore Rd
Ste 160
Boca Raton, FL 33487
Phone (561) 609-3100

1801 W Sample Rd
Ste 200
Deerfield Beach, FL 33064
Phone (954) 904-0723

4675 Linton Blvd
Delray Beach, FL 33445
Phone (561) 381-4305

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

5301 N Dixie Hwy
Ste 100
Oakland Park, FL 33334
Phone (954) 771-3334

1796 US Highway 441 N
Okeechobee, FL 34972
Phone (863) 467-5222

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

2096 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 223-0174

2100 SE Ocean Blvd
Ste 100
Stuart, FL 34996
Phone (772) 223-2155

Interoperability endpoints

  • Direct secure messaging: ian.schaja@sep.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1881674604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321419",
            "telephone_number": "561-939-5500",
            "fax_number": "561-939-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321419",
            "telephone_number": "561-939-5500",
            "fax_number": "561-939-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAJA",
        "first_name": "IAN",
        "middle_name": "M.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS0007011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252920300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57425",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ian.schaja@sep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "501 Glades Rd",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334321419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.