DAYTONA BEACH NEPHROLOGY LLC
NPI 1376193029
Internal Medicine - Nephrology in Port Orange, FL

Active since September 16, 2019
1728 DUNLAWTON AVE STE 4, PORT ORANGE, FL 32127(386) 304-8302(386) 304-8204 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2020, Oct 8, 2019, Sep 16, 2019 (3 updates tracked since 2019).

About Daytona Beach Nephrology Llc NPPES

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

DAYTONA BEACH NEPHROLOGY LLC (NPI 1376193029) is a healthcare organization registered as a nephrology in Port Orange, Florida and active in the NPI registry since September 2019. The organization maintains 2 additional practice locations and lists Rajdeep Singh Gadh, Owner, as its authorized official.

NPPES Registry Identity

NPI1376193029
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameDAYTONA BEACH NEPHROLOGY LLC
Location Address1728 DUNLAWTON AVE STE 4Port Orange, FL 32127-2923
Mailing Address1728 Dunlawton Ave Ste 4Port Orange, FL 32127-2923 · (386) 304-8302 · Fax (386) 304-8204
Fax(386) 304-8204
Organization SubpartNo
Authorized OfficialRajdeep Singh GadhOwner · (386) 304-8302
Enumeration DateSeptember 16, 2019
Last NPPES UpdateAugust 31, 20213 updates tracked since enumeration
NPPES CertifiedAugust 31, 2021
NPI 1376193029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1728 DUNLAWTON AVE STE 4, Port Orange, FL 32127

Secondary Practice Locations 2

Location 1335 Clyde Morris Blvd Ste 260Ormond Beach, FL 32174-3196 · Phone (386) 304-8302 · Fax (386) 304-8204
Location 2125 Florida Memorial Pkwy Ste 2300New Smyrna Beach, FL 32168-9309 · Phone (386) 304-8302 · Fax (386) 304-8204

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Internal Medicine (Nephrology)
1728 DUNLAWTON AVE STE 4
PORT ORANGE, FL 32127

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 Daytona Beach Nephrology LLC's NPI number?

The NPI number for Daytona Beach Nephrology LLC is 1376193029. It was assigned to this organization in the NPPES registry on September 16, 2019.

Where is Daytona Beach Nephrology LLC located?

Daytona Beach Nephrology LLC is located at 1728 Dunlawton Ave Ste 4, Port Orange, FL 32127. The listed phone number is (386) 304-8302.

What is Daytona Beach Nephrology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does Daytona Beach Nephrology LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Daytona Beach Nephrology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daytona Beach Nephrology LLC was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.