Alireza Ebneshahidi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME154418 Issued in FL

Practice address

110 Pond CT Ste 301-302
Debary, FL 32713-2709

Phone

(386) 259-4258

NPI assigned

Sep 30, 2013

Last updated

Jul 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Premier Physician Associates, P.a.

  dba NextHealth Care

  • Family Medicine Physician
  • Debary, FL
  • NPI 1073396073
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1356778880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 POND CT STE 301-302",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132709",
            "telephone_number": "386-259-4258",
            "fax_number": "877-569-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 POND CT STE 301-302",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132709",
            "telephone_number": "386-259-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBNESHAHIDI",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME154418",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R1019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Marie Dobrinski, LMHC
• Donna Stapleton
• Richard Allan Dowling, RN
• Deandrea Yvonne Duffus, D.P.M
• Baylee Eads
• Hamidreza Ebneshahidi, MD
• Edwards Family Health PA
• Casey El Sesy, PTA
• Elevation Health Debary, LLC
• Endodontics

• Family Medicine Physician in Debary, FL
• Providers in Debary, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.