NPIMap

Individual provider Active NPI

Husam Eddin, M.D

  • Family Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1629082607
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME94169 Issued in FL
Practice address
1630 Mason Ave Ste C
Daytona Beach, FL 32117-4547
Phone
(386) 238-9064
Fax
(386) 238-9063
NPI assigned
Jul 28, 2006
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME94169 FL Primary

Addresses

Primary practice location

1630 Mason Ave Ste C
Daytona Beach, FL 32117-4547

Mailing address

1630 Mason Ave Ste C
Daytona Beach, FL 32117-4547
Phone (386) 238-9064

Other identifiers 1

IdentifierTypeStateIssuer
273953400MedicaidFL

Other names 1

  • Husam Eddin Saad Eddin Former name

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
I20051110000748 FL Practitioner - General PracticePractitioner - Family PracticePractitioner - Emergency Medicine 7113945874 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Excellence Health LLCGroup PAC ID 0840534160, 49 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1630 Mason Ave
Suite C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.99 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40
Cost
61.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions17
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence Health Wound Care LLC CurrentSince Sep 1, 2024 Accepting new patients
Halifax Healthcare Systems Inc Family Medicine CurrentSince Nov 1, 2005 Accepting new patients
Excellence Health Specialist LLC CurrentSince Jun 27, 2024 Accepting new patients
Excellence Health Care at Home, LLC Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Apr 1, 2014 Accepting new patients
Excellence Health, LLC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Apr 1, 2014 Accepting new patients
Excellence Health Medical Clinics LLC CurrentSince Nov 1, 2024 Accepting new patients
Excellence Medical Labs LLC CurrentSince Aug 20, 2024 Accepting new patients
Sovereign Healthcare of Port Orange, LLC PastSince Oct 11, 2022 Accepting new patients

Locations

1301 Beville Rd
Daytona Beach, FL 32119
Phone (386) 238-9064

1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064

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

303 N Clyde Morris Blvd
Fl 10
Daytona Beach, FL 32114
Phone (386) 425-2360

595 N Williamson Blvd
Daytona Beach, FL 32114
Phone (386) 257-4400

820 N Clyde Morris Blvd
Daytona Beach, FL 32117
Phone (386) 274-4575

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

2029 Professional Center Dr
Orange Park, FL 32073
Phone (904) 264-8621

3800 Woodbriar Trl
Port Orange, FL 32129
Phone (386) 322-4752

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: husameddin@ehl-fl.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Orange City Nursing and Rehab CenterDebary, FL, CCN 105735 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2023
Apr 1, 2023
Port Orange Nursing and Rehab CenterPort Orange, FL, CCN 105776 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 11, 2022
Oct 11, 2022
Coastal Health and Rehabilitation CenterDaytona Beach, FL, CCN 105565 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 11, 2022
Sep 26, 2025
Indigo ManorDaytona Beach, FL, CCN 105570 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 16, 2021
Oct 16, 2021
Athens Post AcuteDeland, FL, CCN 105261 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Jan 1, 2023
Blue Lake Post AcuteDeland, FL, CCN 105262 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Jan 1, 2023
Beachside Center for Rehabilitation and NursingNew Smyrna Beach, FL, CCN 105038 Skilled nursing facility Adp of the SNF Jan 11, 2024
Halifax Health Care at HomePort Orange, FL, CCN 108359 Home health agency Corporate Director (5%) Jun 14, 2019
Adventhealth HospiceOrmond Beach, FL, CCN 101539 Hospice Contracted Managing Employee Jan 1, 2026

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1629082607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174547",
            "telephone_number": "386-238-9064",
            "fax_number": "386-238-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174547",
            "telephone_number": "386-238-9064",
            "fax_number": "386-238-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDIN",
        "first_name": "HUSAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273953400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUSAM EDDIN",
            "last_name": "SAAD EDDIN",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.