Individual provider Active NPI

Joshua Adam Horenstein, MD

  • Cardiovascular Disease Physician
  • Port Orange, FL
National Provider Identifier
1306074372
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME104918 Issued in FL
Practice address
780 Dunlawton Ave
Unit 101
Port Orange, FL 32127
Phone
(386) 265-5926
NPI assigned
Jun 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X ME104918 FL
Cardiovascular Disease Physician 207RC0000X ME104918 FL Primary

Addresses

Primary practice location

780 Dunlawton Ave
Unit 101
Port Orange, FL 32127

Mailing address

695 N Clyde Morris Blvd
Daytona Beach, FL 32114-2321
Phone (386) 258-8722

Other practice location 1

695 N Clyde Morris Blvd
Daytona Beach, FL 32114-2321
Phone (386) 258-8722

Other identifiers 2

IdentifierTypeStateIssuer
145P7OtherFLBCBS
000972400MedicaidFL

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
I20091029000497 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7911922935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Yale University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis and Klancke Cardiology PAGroup PAC ID 6305731860, 13 clinicians

Practice addresses (Care Compare)

630 W Plymouth Ave
Deland, FL 32720-3260
Phone (386) 734-3654

655 N Clyde Morris Blvd
Suite C
Daytona Beach, FL 32114-2321
Phone (386) 258-8722

695 N Clyde Morris Blvd
Daytona Beach, FL 32114-2321

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014

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
Lewis & Klancke Cardiology PA Cardiovascular Disease CurrentSince Sep 1, 2009 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Oct 25, 2009 Accepting new patients
Lewis & Klancke Cardiology, P.a. Cardiovascular Disease PastSince Sep 11, 2022 Accepting new patients

Locations

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

695 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 258-8722

780 Dunlawton Ave
Ste 101
Port Orange, FL 32127
Phone (386) 265-5926

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306074372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142321",
            "telephone_number": "386-258-8722",
            "fax_number": "386-258-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 DUNLAWTON AVE",
            "address_2": "UNIT 101",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-265-5926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "695 N Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142321",
            "country_code": "US",
            "telephone_number": "386-258-8722",
            "fax_number": "386-258-8659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORENSTEIN",
        "first_name": "JOSHUA",
        "middle_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME104918",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME104918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "145P7",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000972400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.