NPIMap

Individual provider Active NPI

Humayun Jamidar, M.D.

  • Cardiovascular Disease Physician
  • Daytona Beach, FL
National Provider Identifier
1417921701
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0058984 Issued in FL
Practice address
311 N Clyde Morris Blvd Ste 320
Daytona Beach, FL 32114-2756
Phone
(386) 255-5331
Fax
(386) 254-8945
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0058984 FL Primary
Interventional Cardiology Physician 207RI0011X ME00058984 FL

Addresses

Primary practice location

311 N Clyde Morris Blvd Ste 320
Daytona Beach, FL 32114-2756

Mailing address

108 Riverside Dr
Ormond Beach, FL 32176-6502
Phone (386) 255-5331

Other identifiers 2

IdentifierTypeStateIssuer
052396800MedicaidFL
ME0058984OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070827000231 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9739125253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians
Cardiology Physicians, P.a.Group PAC ID 6406892926, 3 clinicians

Practice addresses (Care Compare)

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709

311 N Clyde Morris Blvd
Suite 320
Daytona Beach, FL 32114-2756
Phone (386) 255-5331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.89 of 100Reported as individual
Quality
99.07
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0058984FLMDCardiovascular Disease Physician
ME00058984FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc CurrentSince Jun 1, 2007 Accepting new patients
Cardiology Physicians, P.a. CurrentSince Dec 3, 1990 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

311 N Clyde Morris Blvd
Ste 320
Daytona Beach, FL 32114
Phone (386) 255-5331

311 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 241-1020

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

400 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 239-5000

Use Ci1660
Orlando, FL 32886

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: humayun.jamidar@cp1.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1417921701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 RIVERSIDE DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766502",
            "telephone_number": "386-255-5331",
            "fax_number": "386-255-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N CLYDE MORRIS BLVD STE 320",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142756",
            "telephone_number": "386-255-5331",
            "fax_number": "386-254-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIDAR",
        "first_name": "HUMAYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0058984",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME00058984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052396800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0058984",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.