Individual provider Active NPI

Donald Joseph Fornace, DO FACC

  • Cardiovascular Disease Physician
  • Ormond Beach, FL
National Provider Identifier
1669494480
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS5475 Issued in FL
Practice address
1400 Hand Ave
Suite H
Ormond Beach, FL 32174-8194
Phone
(386) 441-6636
Fax
(386) 441-6680
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS5475 FL Primary

Addresses

Primary practice location

1400 Hand Ave
Suite H
Ormond Beach, FL 32174-8194

Mailing address

1400 Hand Ave
Suite H
Ormond Beach, FL 32174-8194
Phone (386) 441-6636

Other identifiers 1

IdentifierTypeStateIssuer
048431800MedicaidFL

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
I20040309001201 FL Practitioner - Cardiovascular Disease (Cardiology) 5496643553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 1983
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

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1400 Hand Ave
Suite H
Ormond Beach, FL 32174-8195
Phone (386) 441-6636

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014

Merit-based Incentive Payment System (MIPS)

Final score
99.42 of 100Reported as individual
Quality
93.44
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Donald J Fornace DO Facc Inc Cardiovascular Disease CurrentSince Jul 25, 1988 Accepting new patients

Locations

1184 Ocean Shore Blvd
Ormond Beach, FL 32176
Phone (386) 441-6636

1400 Hand Ave
Ste H
Ormond Beach, FL 32174
Phone (386) 322-5200

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: donald.fornace@djf.ssdirect.aprima.com

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 6

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1669494480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HAND AVE",
            "address_2": "SUITE H",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748194",
            "telephone_number": "386-441-6636",
            "fax_number": "386-441-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAND AVE",
            "address_2": "SUITE H",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748194",
            "telephone_number": "386-441-6636",
            "fax_number": "386-441-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNACE",
        "first_name": "DONALD",
        "middle_name": "JOSEPH",
        "credential": "DO FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS5475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048431800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.