Individual provider Active NPI

Rene Celis, MD

  • Interventional Cardiology Physician
  • Daytona Beach, FL
National Provider Identifier
1902072044
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME 123422 Issued in FL
Practice address
103 Memorial Medical Pkwy Ste 200
Daytona Beach, FL 32117-5672
Phone
(386) 615-1521
Fax
(386) 671-0694
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME 123422 FL Primary
Internal Medicine Physician 207R00000X BP10031983 TX
Cardiovascular Disease Physician 207RC0000X ME 123422 FL

Addresses

Primary practice location

103 Memorial Medical Pkwy Ste 200
Daytona Beach, FL 32117-5672

Mailing address

103 Memorial Medical Pkwy Ste 200
Daytona Beach, FL 32117-5672
Phone (386) 615-1521

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
I20151201002121 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476853201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Physicians Memorial, LLCGroup PAC ID 2567622954, 13 clinicians
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

103 Memorial Medical Pkwy
Suite 200
Daytona Beach, FL 32117-5121
Phone (386) 615-1521

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
90.22 of 100Reported as group
Quality
94.03
Promoting interoperability
97
Improvement activities
40
Cost
75.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair13
Varicose vein removal73
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10031983TXMDInternal Medicine Physician
ME 123422FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Physicians Memorial, LLC Cardiovascular Disease CurrentSince Jul 31, 2021 Accepting new patients
Florida Hospital Healthcare Partners, Inc Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Florida Cardiovascular Association PA Cardiovascular Disease CurrentSince Oct 1, 2017 Accepting new patients
Florida Cardiovascular Diagnostic Services LLC Cardiovascular Disease PastSince Oct 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Cardiovascular Solutions Institute Outpatient Services, LLC Cardiovascular Disease PastSince Oct 1, 2015 Accepting new patients

Locations

103 Memorial Medical Pkwy
Ste 200
Daytona Beach, FL 32117
Phone (386) 615-1521

305 Memorial Medical Pkwy
Ste 301
Daytona Beach, FL 32117
Phone (386) 231-4450

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

605 N Washington Ave
Ste 100
Titusville, FL 32796
Phone (321) 228-9822

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1902072044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MEMORIAL MEDICAL PKWY STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175672",
            "telephone_number": "386-615-1521",
            "fax_number": "386-671-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MEMORIAL MEDICAL PKWY STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175672",
            "telephone_number": "386-615-1521",
            "fax_number": "386-671-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELIS",
        "first_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME 123422",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10031983",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 123422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.