JEEVAN SHIVAKUMAR MD
NPI 1104576149
Internal Medicine in Daytona Beach, FL

Q: What is Jeevan Shivakumar's NPI number?

The NPI number for Jeevan Shivakumar is 1104576149. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Q: What is Jeevan Shivakumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeevan Shivakumar was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2022PECOS EnrolledAccepts Medicare Assignment

301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117(386) 231-1090(386) 231-1092 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeevan Shivakumar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEEVAN SHIVAKUMAR MD (NPI 1104576149) is an individual internal medicine provider in Daytona Beach, Florida, licensed in Florida (ME172469) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104576149

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJEEVAN SHIVAKUMARCredential: MD

Location Address301 MEMORIAL MEDICAL PKWYDaytona Beach, FL 32117-5167

Mailing Address770 W Granada Blvd Ste 101Ormond Beach, FL 32174-5179

Phone(386) 231-1090

Fax(386) 231-1092

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 24, 2022

Last NPPES UpdateJuly 23, 2025

NPPES CertifiedJuly 23, 2025

✔ NPI 1104576149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME172469

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

301 MEMORIAL MEDICAL PKWY, Daytona Beach, FL 32117

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeevan Shivakumar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294247318

PECOS Enrollment IDI20250625000040

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100014

Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County

Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100072

Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN LEE OTR

Physical Medicine & Rehabilitation

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (386) 231-3470

MEMORIAL HEALTH SYSTEMS INC

Clinic/Center (Rehabilitation, Cardiac Facilities)

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (386) 231-6000

STACEY L. FLANDERS CRNA

Nurse Anesthetist, Certified Registered

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (386) 231-3147

JULIANA LYN HELLMANN D.O.

Pediatrics

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (407) 975-0410

DHRUMIL VIJAYKUMAR PATEL

Internal Medicine

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (386) 231-1091

DR. MAHMOUD S KHALIFA MD

Internal Medicine

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (386) 231-1091

SELECT SPECIALTY HOSPITAL - DAYTONA BEACH, INC.

Long Term Care Hospital

301 MEMORIAL MEDICAL PKWY, 11TH FLOOR
DAYTONA BEACH, FL 32117

Volusia County (386) 231-3470

MRS. ROSA ZAMIRIS PEREZ CRNA

Nurse Anesthetist, Certified Registered

301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117

Volusia County (386) 231-3518

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeevan Shivakumar's NPI number?

The NPI number for Jeevan Shivakumar is 1104576149. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Jeevan Shivakumar located?

Jeevan Shivakumar practices at 301 Memorial Medical Pkwy, Daytona Beach, FL 32117. The listed phone number is (386) 231-1090.

What is Jeevan Shivakumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jeevan Shivakumar enrolled in Medicare?

Yes. Jeevan Shivakumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jeevan Shivakumar affiliated with any hospitals?

According to CMS data, Jeevan Shivakumar is affiliated with Adventhealth New Smyrna Beach, Adventhealth Daytona Beach and Adventhealth Fish Memorial.

When was this NPI record last updated?

The NPPES record for Jeevan Shivakumar was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.