Ammar Hemaidan, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME78370 Issued in FL

Practice address

1690 Dunlawton Ave Ste 120
Port Orange, FL 32127-8980

Phone

(386) 271-2273

Fax

(386) 271-2274

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

GastroenterologyAlso: Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Gastroenterology Health Care CentersGroup PAC ID 9830084508, 7 clinicians

North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
• Parrish Medical Center Hospital, Titusville, FL, CCN 100028
• Halifax Health /Uf Health Medical Center of Delton Hospital, Deltona, FL, CCN 100330

Merit-based Incentive Payment System (MIPS)

Final score

86.02 of 100Reported as group

Quality

75.26

Promoting interoperability

100

Improvement activities

40

Cost

78.14

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (6 of 8)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: ammarhemaidan@fhcpfl.allscriptsdirect.net

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.

• Advanced Gastroenterology Health Care Centers

  • Gastroenterology Physician
  • Port Orange, FL
  • NPI 1790790277

  FL, Gastroenterology

  Medicare reassignment Care Compare group NPD Authorized official
• Halifax Healthcare Systems Inc

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530

  FL, Gastroenterology

  Medicare reassignment Care Compare group NPD
• North Brevard Medical Support, Inc

  • Multi-Specialty Clinic/Center
  • Titusville, FL
  • NPI 1609834886

  FL

  Medicare reassignment Care Compare group NPD
• Town Center Medical Services, LLC

  • Family Medicine Physician
  • Port Orange, FL
  • NPI 1427498724

  FL, Gastroenterology

  Medicare reassignment NPD Authorized official
• Urgent Care Center of Port Orange, LLC

  • Urgent Care Clinic/Center
  • Port Orange, FL
  • NPI 1891905378

  FL

  Medicare reassignment NPD Authorized official
• Atlantic Anesthesia Services, LLC

  • Anesthesiology Physician
  • Port Orange, FL
  • NPI 1538432034
  NPD Authorized official

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

• Halifax Hospital Medical Center

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1811991227

  Hospital

  Care Compare affiliation
• Medical Center of Deltona, Inc.

  • General Acute Care Hospital
  • Deltona, FL
  • NPI 1003465097

  Hospital

  Care Compare affiliation
• North Brevard County Hospital District

  • General Acute Care Hospital
  • Titusville, FL
  • NPI 1053424648

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1033149752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE",
            "address_2": "STE 120",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278980",
            "telephone_number": "386-481-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE STE 120",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278980",
            "telephone_number": "386-271-2273",
            "fax_number": "386-271-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Harrison Street",
            "address_2": "Parrish Medical Group",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "32780",
            "country_code": "US",
            "telephone_number": "321-567-4991",
            "fax_number": "386-271-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 N Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142709",
            "country_code": "US",
            "telephone_number": "386-425-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEMAIDAN",
        "first_name": "AMMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME78370",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME78370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260588101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destinee Heard
• Heavenly Assisted Living, Inc.
• Amanda Hecht
• David Heise, M.D.
• Helen Mate DPM
• Kassondra Grace Hemmen, AU.D.
• Roxanne Hemmerling
• Matthew Jamal Henderson
• Janell Hendren
• Elizabeth Ashley Hendrix, H.I.S.

• All providers in Port Orange, FL
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.