Active NPI
Heman K. Dave, MD
- Diagnostic Radiology Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME111561
- Practice address
- 709 S Harbor City Blvd Ste 100
Melbourne, FL 32901-1968 - Phone
- (321) 409-9990
- NPI assigned
- Nov 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME111561 | FL | Primary |
Addresses
Primary practice location
709 S Harbor City Blvd Ste 100
Melbourne, FL 32901-1968
Mailing address
709 S Harbor City Blvd Ste 100
Melbourne, FL 32901-1968
Phone (321) 409-9990
Other practice location 1
255 North Sykes Parkway
Merritt Island, FL 32953
Phone (321) 454-6335
Other practice location 2
1315 S Orange Ave
Orlando, FL 32806-2145
Phone (407) 999-9977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005947200 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical College of Wisconsin, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1315 S Orange Ave
1B Simonmed Imaging Delaney Park
Orlando, FL 32806-2145
Phone (407) 999-9977
208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700
255 N Sykes Creek Pkwy
Merritt Island, FL 32953-3518
Phone (321) 454-6335
6023 Farcenda PL
Suite 101
Melbourne, FL 32940-7340
Phone (321) 831-1111
709 S Harbor City Blvd
100 Neuroskeletal Imaging
Melbourne, FL 32901-1968
Phone (321) 409-9990
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME111561 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Neuroskeletal Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888
2222 S Harbor City Blvd
Ste 520
Melbourne, FL 32901
Phone (321) 409-9990
709 S Harbor City Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 409-9990
6023 Farcenda Pl
Ste 101
Melbourne, FL 32940
Phone (321) 409-9990
255 N Sykes Creek Pkwy
Merritt Island, FL 32953
Phone (321) 453-5050
1315 S Orange Ave
Orlando, FL 32806
Phone (407) 849-0840
1315 S Orange Ave
Ste A
Orlando, FL 32806
Phone (407) 999-9977
14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- dheman138124@uihcdirect.org
Organizations & group practices 4
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.
-
dba Standup MRI of Brevard
- Diagnostic Radiology Physician
- Melbourne, FL
- NPI 1225592041
-
dba Nsi Melbourne
- Diagnostic Radiology Physician
- Melbourne, FL
- NPI 1639163975
-
dba Simonmed Imaging Tampa
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
-
dba Simonmed Imaging Waterford Lakes
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1619547601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1205017050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 S HARBOR CITY BLVD STE 100",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011968",
"telephone_number": "321-409-9990",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 S HARBOR CITY BLVD STE 100",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011968",
"telephone_number": "321-409-9990"
}
],
"practiceLocations": [
{
"address_1": "255 NORTH SYKES PARKWAY",
"address_purpose": "LOCATION",
"city": "Merritt Island",
"state": "FL",
"postal_code": "32953",
"country_code": "US",
"telephone_number": "321-454-6335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1315 S Orange Ave",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062145",
"country_code": "US",
"telephone_number": "407-999-9977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVE",
"first_name": "HEMAN",
"middle_name": "K.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-21",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME111561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005947200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.