HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC
NPI 1639352214
Surgery - Surgery of the Hand in South Daytona, FL

Active since December 06, 2007
667 BEVILLE RD STE B, SOUTH DAYTONA, FL 32119(386) 322-6882(386) 322-6848 Get Directions Write a Review

NPPES record last updated: November 12, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 12, 2018, Aug 17, 2016 (2 updates tracked since 2016).

About Hand & Upper Extremity Surgery Of Daytona Beach, Llc NPPES

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

HAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC (NPI 1639352214) is a healthcare organization registered as a surgery of the hand in South Daytona, Florida and active in the NPI registry since December 2007. The organization lists Juan Carlos Castaneda, President, as its authorized official.

NPPES Registry Identity

NPI1639352214
Entity TypeOrganization
Primary Taxonomy2086S0105X
Legal Business NameHAND & UPPER EXTREMITY SURGERY OF DAYTONA BEACH, LLC
Location Address667 BEVILLE RD STE BSouth Daytona, FL 32119-1955
Mailing Address667 Beville Rd Ste BSouth Daytona, FL 32119-1955 · (386) 322-6882 · Fax (386) 322-6848
Fax(386) 322-6848
Organization SubpartNo
Authorized OfficialJuan Carlos CastanedaPresident · (386) 322-6882
Enumeration DateDecember 6, 2007
Last NPPES UpdateNovember 12, 20182 updates tracked since enumeration
✔ NPI 1639352214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
License✔ Licensed in FL · OS59696
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
667 BEVILLE RD STE B, South Daytona, FL 32119

Other Identifiers 1

Medicaid001187400FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hand & Upper Extremity Surgery Of Daytona Beach, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hand & Upper Extremity Surgery Of Daytona Beach, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hand Surgery
NPI 1043248362
667 BEVILLE RD STE B
South Daytona, FL 32119
(386) 322-6882
✔ PECOS✔ Accepts MedicareSame address

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 Hand & Upper Extremity Surgery Of Daytona Beach, LLC's NPI number?

The NPI number for Hand & Upper Extremity Surgery Of Daytona Beach, LLC is 1639352214. It was assigned to this organization in the NPPES registry on December 6, 2007.

Where is Hand & Upper Extremity Surgery Of Daytona Beach, LLC located?

Hand & Upper Extremity Surgery Of Daytona Beach, LLC is located at 667 Beville Rd Ste B, South Daytona, FL 32119. The listed phone number is (386) 322-6882.

What is Hand & Upper Extremity Surgery Of Daytona Beach, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Hand & Upper Extremity Surgery Of Daytona Beach, LLC enrolled in Medicare?

Yes. Hand & Upper Extremity Surgery Of Daytona Beach, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hand & Upper Extremity Surgery Of Daytona Beach, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hand Surgery) reassigns their Medicare billing to Hand & Upper Extremity Surgery Of Daytona Beach, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hand & Upper Extremity Surgery Of Daytona Beach, LLC was last updated on November 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.