NPIMap

Individual provider Active NPI

Jared J Rich, MD

  • Emergency Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1073870218
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME151199 Issued in FL
Practice address
222 S Peninsula Dr
Daytona Beach, FL 32118-4422
Phone
(386) 310-2160
Fax
(386) 310-2106
NPI assigned
Apr 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME151199 FL Primary
Emergency Medicine Physician 207P00000X 283504 NY

Addresses

Primary practice location

222 S Peninsula Dr
Daytona Beach, FL 32118-4422

Mailing address

222 S Peninsula Dr
Daytona Beach, FL 32118-4422
Phone (386) 310-2160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160810001891 NY Practitioner - Emergency Medicine 1456645613 Reassigns benefits to 1 organization
I20210809003784 FL Practitioner - Emergency Medicine 1456645613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Florida State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inphynet Contracting Services LLCGroup PAC ID 7416865811, 169 clinicians

Practice addresses (Care Compare)

951 N Washington Ave
Titusville, FL 32796-2194
Phone (321) 268-6111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Jan 18, 2026 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2016 Accepting new patients
Emergency Medicine Professionals PA Emergency Medicine CurrentSince Aug 2, 2021 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Halifax Healthcare Systems Inc Emergency Medicine CurrentSince Oct 20, 2025 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

222 S Peninsula Dr
Daytona Beach, FL 32118
Phone (386) 310-2160

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

525 E 68th St
#M118
New York, NY 10065

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1073870218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S PENINSULA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184422",
            "telephone_number": "386-310-2160",
            "fax_number": "386-310-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S PENINSULA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184422",
            "telephone_number": "386-310-2160",
            "fax_number": "386-310-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "JARED",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME151199",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "283504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.