Individual provider Active NPI

Donald Harry Dehaven, MD.

  • Family Medicine Physician
  • Melbourne, FL
National Provider Identifier
1508847229
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME035779 Issued in FL
Practice address
8041 Spyglass Hill Rd
Unit 102
Melbourne, FL 32940-8559
Phone
(321) 622-8943
Fax
(321) 622-8945
NPI assigned
Nov 9, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME035779 FL Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X ME035779 FL

Addresses

Primary practice location

8041 Spyglass Hill Rd
Unit 102
Melbourne, FL 32940-8559

Mailing address

8041 Spyglass Hill Rd
Unit 102
Melbourne, FL 32940-8559
Phone (321) 622-8943

Other identifiers 7

IdentifierTypeStateIssuer
1068059OtherFLCAREPLUS MEDICARE
01257726OtherFLAMERIGROUP
19335OtherFIRST HEALTHY
5255803008OtherFLCIGNA
02042OtherFLBLUE CROSS BLUE SHIELD
225693OtherFLWELLCARE
P00018595OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME035779FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donald H. Dehaven MD Family Medicine PastSince Jan 1, 1990 Accepting new patients
Stewart and Stewart a Medical Corporation Family Medicine Past Accepting new patients

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, 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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1508847229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8041 SPYGLASS HILL RD",
            "address_2": "UNIT 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408559",
            "telephone_number": "321-622-8943",
            "fax_number": "321-622-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8041 SPYGLASS HILL RD",
            "address_2": "UNIT 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408559",
            "telephone_number": "321-622-8943",
            "fax_number": "321-622-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAVEN",
        "first_name": "DONALD",
        "middle_name": "HARRY",
        "credential": "MD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME035779",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME035779",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS MEDICARE",
            "identifier": "1068059",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01257726",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTHY",
            "identifier": "19335",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5255803008",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02042",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "225693",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00018595",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.