Individual provider Active NPI

David Cheesman, DO

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1649485079
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
054187 Issued in FL
Practice address
4700 Millenia Blvd
Suite # 175
Orlando, FL 32839-6015
Phone
(321) 354-5250
NPI assigned
May 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 054187 FL Primary

Addresses

Primary practice location

4700 Millenia Blvd
Suite # 175
Orlando, FL 32839-6015

Mailing address

PO Box 886
Daytona Beach, FL 32115-0886
Phone (321) 354-5250

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
I20251110000202 FL Practitioner - Family Practice 9830689678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1985 Longwood Lake Mary Rd
Suite 1007
Longwood, FL 32750-4620

7465 E Osborn Rd
Scottsdale, AZ 85251-6590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054187FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Regenerative Medicine LLC CurrentSince Sep 29, 2025 Accepting new patients

Locations

1985 Longwood Lake Mary Rd
Ste 1007
Longwood, FL 32750
Phone (212) 777-0187

Interoperability endpoints

  • Direct secure messaging: david.cheesman.1@18455.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, 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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649485079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321150886",
            "telephone_number": "321-354-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD",
            "address_2": "SUITE # 175",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396015",
            "telephone_number": "321-354-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEESMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "054187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.