Active NPI
Andrew C Halpern, MD
- Pediatrics Physician
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME124133
- Practice address
- 200 Booth Rd
Suite a
Ormond Beach, FL 32174-5715 - Phone
- (386) 523-1212
- Fax
- (386) 523-1213
- NPI assigned
- Sep 26, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 223250-1 | NY | |
| Pediatrics Physician | 208000000X | ME124133 | FL | Primary |
Addresses
Primary practice location
200 Booth Rd
Suite a
Ormond Beach, FL 32174-5715
Mailing address
PO Box 732901
Dallas, TX 75373-2901
Phone (386) 226-4590
Other practice location 1
4308 Alton Rd Ste 910
Miami Beach, FL 33140-4560
Phone (305) 532-3378
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64097124 | Medicaid | KY | |
| 000000359520 | Other | IN | ANTHEM BC/BS |
| 15D1038972 | Other | IN | CLIA |
| 200063730A | Medicaid | IN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223250-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Children'S Medical Center of Ormond Beach | Past | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Fl 10
Daytona Beach, FL 32114
Phone (386) 425-2360
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
431 S Keech St
Daytona Beach, FL 32114
Phone (386) 947-3553
200 Booth Rd
Ste A
Ormond Beach, FL 32174
Phone (386) 425-1212
Interoperability endpoints
- andrew.halpern.1@16462.direct.athenahealth.com
Organizations & group practices 2
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
-
- Specialist
- Ormond Beach, FL
- NPI 1093932113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1487640397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 732901",
"city": "DALLAS",
"state": "TX",
"postal_code": "753732901",
"telephone_number": "386-226-4590",
"fax_number": "386-226-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BOOTH RD",
"address_2": "SUITE A",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745715",
"telephone_number": "386-523-1212",
"fax_number": "386-523-1213"
}
],
"practiceLocations": [
{
"address_1": "4308 Alton Rd Ste 910",
"address_purpose": "LOCATION",
"city": "Miami Beach",
"state": "FL",
"postal_code": "331404560",
"country_code": "US",
"telephone_number": "305-532-3378",
"fax_number": "305-532-1164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALPERN",
"first_name": "ANDREW",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "223250-1",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME124133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64097124",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000359520",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "15D1038972",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200063730A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.