Individual provider Active NPI

Amanuel Samad Himmed, M.D.

  • Pain Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1396955134
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME153168 Issued in FL
Practice address
1600 E Atlantic Blvd Ste a
Pompano Beach, FL 33060-6768
Phone
(754) 318-3398
NPI assigned
May 23, 2007
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 35.083935 OH
General Practice Physician 208D00000X ME153168 FL
Pain Medicine Physician 208VP0000X ME153168 FL Primary

Addresses

Primary practice location

1600 E Atlantic Blvd Ste a
Pompano Beach, FL 33060-6768

Mailing address

680 Park Ave W
Mansfield, OH 44906-3706
Phone (855) 446-7348

Other practice location 1

680 Park Ave W
Mansfield, OH 44906-3706
Phone (855) 446-7348

Other names 1

  • Dr. Amanuel Ambaye Daniachew Former name

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
I20230208003032 FL Practitioner - Pain Management 6406002062 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME153168FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summerfield Medical Clinic MD PA CurrentSince Nov 1, 2022 Accepting new patients
CTD Network LLC General Practice CurrentSince Sep 5, 2025 Accepting new patients
Active Healthcare of Nelsonville LLC General Practice Past Accepting new patients
United Housecall Doctors Corp. PastSince Apr 4, 2015 Accepting new patients

Locations

1805 James L Redman Pkwy
#5412
Plant City, FL 33563

1805 James L Redman Pkwy
Ste 201
Plant City, FL 33563
Phone (305) 721-1101

13055 Summerfield Square Dr
Riverview, FL 33578
Phone (813) 741-2473

13055 Summerfield Square Dr
#D
Riverview, FL 33578
Phone (813) 741-2473

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1396955134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063706",
            "telephone_number": "855-446-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E ATLANTIC BLVD STE A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606768",
            "telephone_number": "754-318-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Park Ave W",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449063706",
            "country_code": "US",
            "telephone_number": "855-446-7348",
            "fax_number": "813-672-6197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIMMED",
        "first_name": "AMANUEL",
        "middle_name": "SAMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.083935",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME153168",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME153168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANUEL",
            "last_name": "DANIACHEW",
            "middle_name": "AMBAYE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.