Individual provider Active NPI

Atef Wasef, MD

  • Pain Medicine (Anesthesiology) Physician
  • Daytona Beach, FL
National Provider Identifier
1730140542
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME161338 Issued in FL
Practice address
1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Phone
(386) 274-2977
Fax
(330) 363-7770
NPI assigned
Mar 31, 2006
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35078996 OH
Anesthesiology Physician 207L00000X ME161338 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME161338 FL Primary
Pain Medicine Physician 208VP0000X ME161338 FL
Interventional Pain Medicine Physician 208VP0014X ME161338 FL

Addresses

Primary practice location

1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590

Mailing address

1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977

Other identifiers 2

IdentifierTypeStateIssuer
2285165MedicaidOH
121514100MedicaidFL

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
I20230831004650 FL Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and RehabilitationPractitioner - Anesthesiology 0446215347 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Physical Medicine and Rehabilitation
Education
Other, 1987
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
PRC Associates LLCGroup PAC ID 5890698708, 15 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1671 N Clyde Morris Blvd
Suite 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Mar 20, 2024 Accepting new patients
Premier Medical Associates All Florida, LLC CurrentSince Mar 20, 2024 Accepting new patients
PRC Associates, LLC Interventional Pain Medicine CurrentSince Feb 1, 2024 Accepting new patients
PRC Associates LLC Pain Medicine CurrentSince Feb 1, 2024 Accepting new patients
Bedford Anesthesiologists and Pain Management Anesthesiology Past Accepting new patients
Licking Memorial Professional Corporation Anesthesiology Past Accepting new patients
Uhhs Bedford Past Accepting new patients

Locations

1671 N Clyde Morris Blvd
Ste 100
Daytona Beach, FL 32117
Phone (386) 274-2977

644 W Plymouth Ave
Deland, FL 32720
Phone (386) 410-4926

750 W Plymouth Ave
#B
Deland, FL 32720
Phone (386) 740-1123

761 Stirling Center Pl
Lake Mary, FL 32746
Phone (386) 274-2977

245 N Causeway
New Smyrna Beach, FL 32169
Phone (386) 410-4926

501 S Orange St
New Smyrna Beach, FL 32168
Phone (386) 265-1913

2720 Rebecca Ln
Ste 104
Orange City, FL 32763
Phone (386) 456-1160

21 Hospital Dr
Ste 120
Palm Coast, FL 32164
Phone (386) 586-2280

1165 Dunlawton Ave
Ste 101
Pt Orange, FL 32127
Phone (386) 760-0815

1511 Buenos Aires Blvd
The Villages, FL 32159

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

1580 Santa Barbara Blvd
Ste D
The Villages, FL 32159
Phone (352) 508-1512

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAIGCD

Organizations & group practices 7

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1730140542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 N CLYDE MORRIS BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175590",
            "telephone_number": "386-274-2977",
            "fax_number": "330-363-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 N CLYDE MORRIS BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175590",
            "telephone_number": "386-274-2977",
            "fax_number": "330-363-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASEF",
        "first_name": "ATEF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35078996",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME161338",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME161338",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME161338",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME161338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2285165",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121514100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.