Individual provider Active NPI

Abdelrahman M Aljadi, MD

  • Interventional Cardiology Physician
  • Daytona Beach, FL
National Provider Identifier
1942603873
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME168066 Issued in FL
Practice address
695 N Clyde Morris Blvd # D
Daytona Beach, FL 32114-2321
Phone
(386) 258-8722
NPI assigned
Oct 7, 2014
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Cardiovascular Disease Physician 207RC0000X MD-48117 IA
Interventional Cardiology Physician 207RI0011X ME168066 FL Primary

Addresses

Primary practice location

695 N Clyde Morris Blvd # D
Daytona Beach, FL 32114-2321

Mailing address

257 Bancorp South Pkwy
Jackson, TN 38305-7582
Phone (731) 421-6510

Other practice location 1

700 W Forest Ave
Jackson, TN 38301-3937
Phone (731) 421-6510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, FL, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211004001865 IA Practitioner - Cardiovascular Disease (Cardiology) 8325360068 Reassigns benefits to 1 organization
I20240706000289 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325360068 Reassigns benefits to 2 organizations
I20260105002301 MS Practitioner - Cardiovascular Disease (Cardiology) 8325360068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Regional Heart Associates LLCGroup PAC ID 1850532292, 7 clinicians
Wesley Physician Services LLCGroup PAC ID 2466559851, 42 clinicians

Practice addresses (Care Compare)

2770 Capital Medical Blvd
Suite 109C
Tallahassee, FL 32308-8417
Phone (850) 877-0320

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8155

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME168066FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc CurrentSince Jul 30, 2024 Accepting new patients
Davis County Hospital CurrentSince Oct 6, 2021 Accepting new patients
Wesley Physician Services LLC Cardiovascular Disease CurrentSince Nov 1, 2025 Accepting new patients
Davis County Hospital CurrentSince Oct 6, 2021 Accepting new patients

Locations

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

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4

Organizations & group practices 5

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 2

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": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1942603873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 BANCORP SOUTH PKWY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057582",
            "telephone_number": "731-421-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N CLYDE MORRIS BLVD # D",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142321",
            "telephone_number": "386-258-8722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013937",
            "country_code": "US",
            "telephone_number": "731-421-6510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALJADI",
        "first_name": "ABDELRAHMAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-07",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "MD-48117",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME168066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.