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IDC OF VOLUSIA, LLC
NPI 1154372241
Internal Medicine - Infectious Disease in New Smyrna Beach, FL

Active since May 13, 2006
410 PALMETTO ST, NEW SMYRNA BEACH, FL 32168(386) 410-4981(386) 410-4982 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2025, Aug 29, 2017 (2 updates tracked since 2017).

About Idc Of Volusia, Llc NPPES

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

IDC OF VOLUSIA, LLC (NPI 1154372241) is a healthcare organization registered as an infectious disease in New Smyrna Beach, Florida and active in the NPI registry since May 2006. The organization lists Reba Isaac, Md, as its authorized official.

NPPES Registry Identity

NPI1154372241
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameIDC OF VOLUSIA, LLC
Location Address410 PALMETTO STNew Smyrna Beach, FL 32168-7323
Mailing AddressPo Box 70New Smyrna Beach, FL 32170-0070 · (386) 410-4981 · Fax (386) 410-4982
Phone(386) 410-4981
Fax(386) 410-4982
Organization SubpartNo
Authorized OfficialReba IsaacMd · (386) 410-4981
Enumeration DateMay 13, 2006
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1154372241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME89116
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
410 PALMETTO ST, New Smyrna Beach, FL 32168
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idc Of Volusia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Idc Of Volusia, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Reba Isaac, M.D.
Infectious Disease
NPI 1356348593
410 PALMETTO ST
New Smyrna Beach, FL 32168
(386) 410-4981
✔ PECOS✔ Accepts MedicareSame address
Latoya Moody, ARNP
Nurse Practitioner
NPI 1558404970
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
(386) 254-4000
✔ PECOS✔ Accepts Medicare15 mi
Enitan Ekwotafia, ARNP
Nurse Practitioner
NPI 1598904278
5804 LAKE UNDERHILL RD SUITE C
Orlando, FL 32807
(407) 384-1718
✔ PECOS✔ Accepts Medicare41 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Idc Of Volusia, LLC's NPI number?

The NPI number for Idc Of Volusia, LLC is 1154372241. It was assigned to this organization in the NPPES registry on May 13, 2006.

Where is Idc Of Volusia, LLC located?

Idc Of Volusia, LLC is located at 410 Palmetto St, New Smyrna Beach, FL 32168. The listed phone number is (386) 410-4981.

What is Idc Of Volusia, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Idc Of Volusia, LLC enrolled in Medicare?

Yes. Idc Of Volusia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idc Of Volusia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Idc Of Volusia, LLC, in Infectious Disease and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Idc Of Volusia, LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.