Individual provider Active NPI

David Adam Diamond, M.D

  • Radiation Oncology Physician
  • Winter Park, FL
National Provider Identifier
1528069671
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME78350 Issued in FL
Practice address
483 N Semoran Blvd
Suite 107
Winter Park, FL 32792-3800
Phone
(407) 539-0722
Fax
(407) 539-0723
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME78350 FL Primary

Addresses

Primary practice location

483 N Semoran Blvd
Suite 107
Winter Park, FL 32792-3800

Mailing address

483 N Semoran Blvd
Suite 107
Winter Park, FL 32792-3800
Phone (407) 539-0722

Other practice location 1

2010 Nightingale Ln
Tavares, FL 32778-4361
Phone (352) 742-3045

Other practice location 2

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (386) 425-4210

Other identifiers 3

IdentifierTypeStateIssuer
IN463XOtherFLMEDICARE PTAN
K9074OtherFLMEDICARE PTAN
257078500MedicaidFL

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
I20041019000523 FL Practitioner - Radiation Oncology 8820058316 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Florida College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Oncology Tavares LLCGroup PAC ID 9436469319, 3 clinicians
Florida Radiation Oncology PartnersGroup PAC ID 0547556185, 2 clinicians

Practice addresses (Care Compare)

2010 Nightingale LN
Tavares, FL 32778-4361
Phone (352) 742-3045

483 N Semoran Blvd
Winter Park, FL 32792-3800
Phone (407) 539-0722

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiation Oncology Partners Radiation Oncology CurrentSince Jul 1, 2016 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Jun 29, 2019 Accepting new patients
Parrish Radiation Oncology, LLC Radiation Oncology CurrentSince Feb 1, 2026 Accepting new patients
Florida Oncology Tavares, LLC Radiation Oncology CurrentSince Jul 18, 2015 Accepting new patients
Heartland Oncology Partners, LLC Radiation Oncology Past Accepting new patients

Locations

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

2010 Nightingale Ln
Tavares, FL 32778
Phone (352) 609-7006

490 N Washington Ave
Ste 2
Titusville, FL 32796

483 N Semoran Blvd
Ste 107
Winter Park, FL 32792
Phone (407) 539-0722

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 3

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1528069671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "SUITE 107",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "telephone_number": "407-539-0722",
            "fax_number": "407-539-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "SUITE 107",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "telephone_number": "407-539-0722",
            "fax_number": "407-539-0723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Nightingale Ln",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784361",
            "country_code": "US",
            "telephone_number": "352-742-3045",
            "fax_number": "352-742-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 N Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142709",
            "country_code": "US",
            "telephone_number": "386-425-4210",
            "fax_number": "386-425-7725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "DAVID",
        "middle_name": "ADAM",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME78350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IN463X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K9074",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257078500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.