NPIMap

Individual provider Active NPI

Magda M. Amer, MD

  • Internal Medicine Physician
  • Palm Coast, FL
National Provider Identifier
1053600874
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME123465 Issued in FL
Practice address
309 Palm Coast Pkwy NE
Palm Coast, FL 32137-3886
Phone
(386) 254-4242
Fax
(386) 258-4858
NPI assigned
Apr 1, 2011
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME123465 FL Primary

Addresses

Primary practice location

309 Palm Coast Pkwy NE
Palm Coast, FL 32137-3886

Mailing address

57 Foxcroft Run
Ormond Beach, FL 32174-2476
Phone (201) 282-1690

Other identifiers 3

IdentifierTypeStateIssuer
1053600874OtherFLTRICARE
1524HOtherFLBCBS
015990000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028003031 FL Practitioner - Internal Medicine 4284949587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excellence Health LLCGroup PAC ID 0840534160, 49 clinicians
Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

1630 Mason Ave
Suite C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064

309 Palm Coast Pkwy NE
Palm Coast, FL 32137-3886
Phone (386) 756-0591

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME123465FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence Health, LLC CurrentSince Jan 1, 2025 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Sep 21, 2015 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Sep 21, 2015 Accepting new patients

Locations

1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064

309 Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 445-7073

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1053600874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 FOXCROFT RUN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321742476",
            "telephone_number": "201-282-1690",
            "fax_number": "386-676-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PALM COAST PKWY NE",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373886",
            "telephone_number": "386-254-4242",
            "fax_number": "386-258-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMER",
        "first_name": "MAGDA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME123465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1053600874",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1524H",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015990000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.