Individual provider Active NPI

Heman K. Dave, MD

  • Diagnostic Radiology Physician
  • Melbourne, FL
National Provider Identifier
1205017050
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME111561 Issued in FL
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

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
005947200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120723000323 FL Practitioner - Diagnostic Radiology 7113183054 Reassigns benefits to 3 organizations

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
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Neuroskeletal Imaging LLCGroup PAC ID 6204865223, 7 clinicians
Central Florida Radiology LLCGroup PAC ID 1850627811, 5 clinicians

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 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME111561FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Radiology LLC Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince May 30, 2025 Accepting new patients
Neuroskeletal Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince May 30, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.