NPIMap

Individual provider Active NPI

David Heise, M.D.

  • Family Medicine Physician
  • Port Orange, FL
National Provider Identifier
1740353465
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0083299 Issued in FL
Practice address
735 Dunlawton Ave
Port Orange, FL 32127-9226
Phone
(888) 808-0488
Fax
(386) 872-4232
NPI assigned
Nov 17, 2006
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0083299 FL Primary
Hospitalist Physician 208M00000X ME83299 FL

Addresses

Primary practice location

735 Dunlawton Ave
Port Orange, FL 32127-9226

Mailing address

735 Dunlawton Ave
Port Orange, FL 32127-9226
Phone (888) 808-0488

Other identifiers 2

IdentifierTypeStateIssuer
262487700MedicaidFL
ME83299OtherFLSTATE MEDICAL LICENSE

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
I20040520000133 FL Practitioner - Family PracticePractitioner - Hospitalist 8022009943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Group SE LLCGroup PAC ID 4385037670, 20 clinicians
D.H. Medical, LLCGroup PAC ID 6103014618, 19 clinicians

Practice addresses (Care Compare)

170 N Kings Rd
Ormond Beach, FL 32174-5118
Phone (386) 267-0254

226 N Nova Rd
Suite 184
Ormond Beach, FL 32174-5124
Phone (888) 808-0488

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0083299FLMDFamily Medicine Physician
ME83299FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Home Care of Florida CurrentSince Jan 19, 2022 Accepting new patients
Complete Medical Healthcare LLC Family Medicine Current Accepting new patients
D.H. Medical, LLC Family Medicine CurrentSince Nov 8, 2010 Accepting new patients
Family Practice on the Go of Florida Family Medicine Past Accepting new patients
Daytona FL Operating Company LLC PastSince Nov 1, 2024 Accepting new patients
Westminster Pines, Inc. Past Accepting new patients
Coquina Center, LLC Past Accepting new patients
Bridgeview Center, LLC Past Accepting new patients

Locations

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

430 Oakridge Blvd
Ste 1
Daytona Beach, FL 32118

170 N Old Kings Rd
Ormond Beach, FL 32174
Phone (386) 615-8139

226 N Nova Rd
Ormond Beach, FL 32174
Phone (386) 235-1489

735 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 872-5190

Ownership & related parties

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Coquina CenterOrmond Beach, FL, CCN 105589 Skilled nursing facility Adp of the SNF Jun 28, 2025
Westminster St. AugustineSt Augustine, FL, CCN 106040 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2017
Apr 16, 2025
Seaside Health and Rehabilitation CenterDaytona Beach, FL, CCN 105052 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2022
Oct 15, 2025
Blue Palms Health and Rehabilitation Center of DayDaytona Beach, FL, CCN 105651 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2024
Nov 1, 2024
Aviata at South DaytonaSouth Daytona, FL, CCN 105665 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 25, 2024
Sep 25, 2024

Owned or controlled facilities with NPI records 5

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

Organizations & group practices 10

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1740353465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 DUNLAWTON AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279226",
            "telephone_number": "888-808-0488",
            "fax_number": "386-872-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 DUNLAWTON AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279226",
            "telephone_number": "888-808-0488",
            "fax_number": "386-872-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0083299",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME83299",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262487700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "ME83299",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.