Individual provider Active NPI

Andrew Dakkak, MD

  • Diagnostic Radiology Physician
  • Tavares, FL
National Provider Identifier
1346877818
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME152108 Issued in FL
Practice address
1000 Waterman Way
Tavares, FL 32778-5266
Phone
(352) 253-3333
Fax
(317) 705-5047
NPI assigned
Mar 25, 2020
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 ME152108 FL Primary

Addresses

Primary practice location

1000 Waterman Way
Tavares, FL 32778-5266

Mailing address

2600 Westhall LN Ste 4
Maitland, FL 32751-7102
Phone (407) 200-2355

Other practice location 1

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (954) 436-5000

Other practice location 2

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Other identifiers 1

IdentifierTypeStateIssuer
126334000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adakkak2525558@ehrdirect.mayoclinicmsg.org

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
I20250512002036 FL Practitioner - Diagnostic Radiology 3274964879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Florida Atlantic University, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

10125 W Colonial Dr
114 Simonmed Imaging Ocoee II
Ocoee, FL 34761-4212
Phone (407) 531-7100

10910 State Rd 70 E
103 Simonmed Imaging Lakewood Ranch
Lakewood Ranch, FL 34202-8406
Phone (941) 954-1900

1125 Miranda LN
Kissimmee, FL 34741-0763
Phone (689) 204-0153

208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700

2121 S Orange Ave
Simonmed Imaging Kaley II
Orlando, FL 32806-3067
Phone (407) 514-1870

4051 Upper Creek Dr
Suite 103a
Sun City Center, FL 33573-6848
Phone (813) 634-0010

6250 Lake Osprey Dr
Suite 100
Lakewood Ranch, FL 34240-8423
Phone (941) 957-9340

745 Orienta Ave
Suite 1161
Altamonte Springs, FL 32701-6609
Phone (321) 207-4474

875 Cypress Pkwy
Poinciana, FL 34759-3408
Phone (407) 944-2220

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Jacksonville CurrentSince Jul 1, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Mayo Clinic Jacksonville Current Accepting new patients
Mayo Clinic Jacksonville CurrentSince Jul 1, 2025 Accepting new patients

Locations

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: adakkak127458@adventhealth.direct-ci.com
  • Direct secure messaging: adakkak2525558@ehrdirect.mayoclinicmsg.org

Organizations & group practices 5

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 1

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1346877818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WESTHALL LN STE 4",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517102",
            "telephone_number": "407-200-2355",
            "fax_number": "407-200-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785266",
            "telephone_number": "352-253-3333",
            "fax_number": "317-705-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 N Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281006",
            "country_code": "US",
            "telephone_number": "954-436-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 San Pablo Rd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241865",
            "country_code": "US",
            "telephone_number": "904-953-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAKKAK",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME152108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126334000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adakkak2525558@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "4500 San Pablo Rd S",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322241865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.