Individual provider Active NPI

Joseph M Kaminski, M.D.

  • Radiation Oncology Physician
  • Daytona Beach, FL
National Provider Identifier
1033229380
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME112967 Issued in FL
Practice address
1620 Mason Ave Ste E
Daytona Beach, FL 32117-5513
Phone
(386) 506-5115
Fax
(386) 506-5112
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 056109 GA
Radiation Oncology Physician 2085R0001X ME112967 FL Primary

Addresses

Primary practice location

1620 Mason Ave Ste E
Daytona Beach, FL 32117-5513

Mailing address

12109 County Road 103
Oxford, FL 34484-2951
Phone (352) 205-8981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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
I20050518000699 GA Practitioner - Radiation Oncology 5890736003 Reassigns benefits to 1 organization
I20151012002225 FL Practitioner - Radiation OncologyPractitioner - Medical Oncology 5890736003 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute, LLC CurrentSince Sep 25, 2020 Accepting new patients
Au Medical Associates Inc CurrentSince Jan 13, 2014 Accepting new patients
Florida Urology Center PA CurrentSince Dec 14, 2020 Accepting new patients
Advanced Urology Institute, LLC CurrentSince Sep 25, 2020 Accepting new patients
Au Medical Associates Inc CurrentSince Jan 13, 2014 Accepting new patients
American Diagnostics Services LLC Past Accepting new patients

Locations

1620 Mason Ave
Ste E
Daytona Beach, FL 32117
Phone (386) 274-1640

609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707

506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554

300 Clyde Morris Blvd
Ste C
Ormond Beach, FL 32174
Phone (386) 673-5100

12109 County Road 103
Oxford, FL 34484
Phone (352) 205-8981

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc41222_advuroswflorida
  • Direct secure messaging: joseph.kaminski@vantageoncology.direct.varian.com

Organizations & group practices 6

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1033229380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 COUNTY ROAD 103",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842951",
            "telephone_number": "352-205-8981",
            "fax_number": "352-391-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MASON AVE STE E",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175513",
            "telephone_number": "386-506-5115",
            "fax_number": "386-506-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "056109",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME112967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.