Individual provider Active NPI

Neil Nagda, MD

  • Pain Medicine (Anesthesiology) Physician
  • Daytona Beach, FL
National Provider Identifier
1508327842
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME167145 Issued in FL
Practice address
1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Phone
(386) 274-2977
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X ME167145 FL Primary

Addresses

Primary practice location

1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590

Mailing address

1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977

Other practice location 1

6431 Fannin St Ste 5.170
Houston, TX 77030-1501
Phone (713) 500-6200

Other practice location 2

One Medical Center Blvd
Winston-Salem, NC 27157-3465
Phone (336) 716-7246

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
I20240716003121 FL Practitioner - AnesthesiologyPractitioner - Pain Management 5496118648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Florida Atlantic University, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PRC Associates LLCGroup PAC ID 5890698708, 15 clinicians

Practice addresses (Care Compare)

1671 N Clyde Morris Blvd
Suite 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PRC Associates LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1671 N Clyde Morris Blvd
Ste 100
Daytona Beach, FL 32117
Phone (386) 274-2977

750 W Plymouth Ave
#B
Deland, FL 32720
Phone (386) 740-1123

644 W Plymouth Ave
Deland, FL 32720
Phone (386) 410-4926

761 Stirling Center Pl
Lake Mary, FL 32746
Phone (386) 274-2977

245 N Causeway
New Smyrna Beach, FL 32169
Phone (386) 410-4926

501 S Orange St
New Smyrna Beach, FL 32168
Phone (386) 274-2977

2720 Rebecca Ln
Ste 104
Orange City, FL 32763
Phone (386) 456-1160

21 Hospital Dr
Ste 120
Palm Coast, FL 32164
Phone (386) 586-2280

21 Hospital Dr
Ste 170
Palm Coast, FL 32164
Phone (386) 586-2280

1165 Dunlawton Ave
Ste 101
Pt Orange, FL 32127
Phone (386) 760-0815

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

Hospital & facility affiliations 2

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1508327842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 N CLYDE MORRIS BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175590",
            "telephone_number": "386-274-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 N CLYDE MORRIS BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175590",
            "telephone_number": "386-274-2977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St Ste 5.170",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-6200",
            "fax_number": "713-500-0648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "One Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston-Salem",
            "state": "NC",
            "postal_code": "271573465",
            "country_code": "US",
            "telephone_number": "336-716-7246",
            "fax_number": "336-716-8773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGDA",
        "first_name": "NEIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME167145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.