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KEIVAN HOSSEINNEJAD
NPI 1417516501
Internal Medicine - Addiction Medicine in Daytona Beach, FL

Active since June 11, 2019PECOS Enrolled
330 N CLYDE MORRIS BLVD STE 10, DAYTONA BEACH, FL 32114(386) 676-7175(386) 676-7134 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2025, Jun 11, 2019 (2 updates tracked since 2019).

About Keivan Hosseinnejad NPPES

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

KEIVAN HOSSEINNEJAD (NPI 1417516501) is an individual addiction medicine provider in Daytona Beach, Florida, licensed in Florida (ME164062) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417516501
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameKEIVAN HOSSEINNEJAD
Location Address330 N CLYDE MORRIS BLVD STE 10Daytona Beach, FL 32114-2733
Mailing Address330 N Clyde Morris Blvd Ste 10Daytona Beach, FL 32114-2733 · (386) 676-7175 · Fax (386) 676-7134
Phone(386) 676-7175
Fax(386) 676-7134
Sole ProprietorNo
Enumeration DateJune 11, 2019
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1417516501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in FL · ME164062
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
330 N CLYDE MORRIS BLVD STE 10, Daytona Beach, FL 32114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Health Care Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keivan Hosseinnejad is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Keivan Hosseinnejad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Health Care Plan, Inc
2.1 mi
Preferred Provider Organization
2450 MASON AVE
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 132 clinicians in this Medicare group
NPI 1558302042 (386) 615-4021

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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.

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 Keivan Hosseinnejad's NPI number?

The NPI number for Keivan Hosseinnejad is 1417516501. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Keivan Hosseinnejad located?

Keivan Hosseinnejad practices at 330 N Clyde Morris Blvd Ste 10, Daytona Beach, FL 32114. The listed phone number is (386) 676-7175.

What is Keivan Hosseinnejad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Keivan Hosseinnejad enrolled in Medicare?

Yes. Keivan Hosseinnejad is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keivan Hosseinnejad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keivan Hosseinnejad reassigns Medicare benefits to Florida Health Care Plan, Inc (Daytona Beach, FL). The 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 Keivan Hosseinnejad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keivan Hosseinnejad accept?

Health plans from Florida Health Care Plans list Keivan Hosseinnejad 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 Keivan Hosseinnejad was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.