Individual provider Active NPI

Maya Laprade, DO

  • Family Medicine Physician
  • New Smyrna Beach, FL
National Provider Identifier
1730758566
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS19365 Issued in FL
Practice address
125 Florida Memorial Pkwy Ste 2200
New Smyrna Beach, FL 32168-9309
Phone
(386) 409-6839
NPI assigned
Jun 24, 2021
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X UO7848 FL
Family Medicine Physician 207Q00000X OS19365 FL Primary
Hospitalist Physician 208M00000X 1730758566 FL

Addresses

Primary practice location

125 Florida Memorial Pkwy Ste 2200
New Smyrna Beach, FL 32168-9309

Mailing address

125 Florida Memorial Pkwy Ste 2200
New Smyrna Beach, FL 32168-9309
Phone (386) 409-6839

Other practice location 1

201 N Clyde Morris Blvd Ste 200
Daytona Beach, FL 32114-2765
Phone (386) 425-4165

Other names 1

  • Maya Baram Former name

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
I20230322001834 FL Practitioner - Family PracticePractitioner - Hospitalist 9032516430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1730758566FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Halifax Healthcare Systems Inc Family Medicine CurrentSince Jan 25, 2023 Accepting new patients
Heathrow Internal Medicine LLC Family Medicine PastSince Mar 6, 2023 Accepting new patients
Paramount Urgent Care Inc Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

201 N Clyde Morris Blvd
Ste 200
Daytona Beach, FL 32114
Phone (386) 254-4165

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

125 Florida Memorial Pkwy
Ste 2200
New Smyrna Beach, FL 32168
Phone (386) 409-6836

Interoperability endpoints

  • Direct secure messaging: mlaprade3419194@adventhealth.direct-ci.com

Organizations & group practices 4

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 8

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1730758566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FLORIDA MEMORIAL PKWY STE 2200",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321689309",
            "telephone_number": "386-409-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FLORIDA MEMORIAL PKWY STE 2200",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321689309",
            "telephone_number": "386-409-6839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Clyde Morris Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142765",
            "country_code": "US",
            "telephone_number": "386-425-4165",
            "fax_number": "386-425-4165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAPRADE",
        "first_name": "MAYA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO7848",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS19365",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "1730758566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "BARAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.