Active NPI
David Billmeier, MD
- Family Medicine Physician
- Daytona Beach, FL
National Provider Identifier
1407964141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME71479
- Practice address
- 1717 N Clyde Morris Blvd Ste 120
Daytona Beach, FL 32117-5532 - Phone
- (386) 777-3721
- Fax
- (877) 325-2429
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME71479 | FL | Primary |
Addresses
Primary practice location
1717 N Clyde Morris Blvd Ste 120
Daytona Beach, FL 32117-5532
Mailing address
1717 N Clyde Morris Blvd Ste 120
Daytona Beach, FL 32117-5532
Phone (386) 777-3721
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2422845 | Other | FL | AETNA |
| 45360 | Other | FL | MEDICARE GROUP# |
| 59-3667262 | Other | FL | TAX ID# |
| MQ343 | Other | FL | MEDICARE |
| 080164322 | Other | FL | RAILROAD MEDICARE |
| 255172100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME71479 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- davidbillmeier@fhcpfl.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663977600000",
"number": "1407964141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 N CLYDE MORRIS BLVD STE 120",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175532",
"telephone_number": "386-777-3721",
"fax_number": "877-325-2429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 N CLYDE MORRIS BLVD STE 120",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175532",
"telephone_number": "386-777-3721",
"fax_number": "877-325-2429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLMEIER",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2022-09-24",
"certification_date": "2022-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME71479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2422845",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP#",
"identifier": "45360",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "59-3667262",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "MQ343",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080164322",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255172100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.