1. Home
  2. Directory
  3. Florida
  4. Debary
  5. General Practice
  6. NPI Profile

DR. HAMIDREZA EBNESHAHIDI MD
NPI 1710473889
General Practice in Debary, FL

Active since July 02, 2018PECOS EnrolledAccepts Medicare Assignment
110 POND CT STE 301, DEBARY, FL 32713(386) 259-4258(877) 569-2113 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Mar 7, 2023, Mar 21, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Hamidreza Ebneshahidi Md NPPES

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

DR. HAMIDREZA EBNESHAHIDI MD (NPI 1710473889) is an individual general practice provider in Debary, Florida, licensed in Florida (ACN1122) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1710473889
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. HAMIDREZA EBNESHAHIDICredential: MD
Location Address110 POND CT STE 301Debary, FL 32713-2717
Mailing Address110 Pond Ct Ste 301Debary, FL 32713-2717 · (386) 259-4258 · Fax (877) 569-2113
Phone(386) 259-4258
Fax(877) 569-2113
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 2, 2018
Last NPPES UpdateNovember 21, 20254 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1710473889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ACN1122✔ Licensed in PR · 19992
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
110 POND CT STE 301, Debary, FL 32713
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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

Dr. Hamidreza Ebneshahidi 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 ID4688919954
PECOS Enrollment IDI20190329002192
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.

Other Providers at the Same Location NPPES

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

PREMIER PHYSICIAN ASSOCIATES, P.A.
Family Medicine
110 POND CT STE 301
DEBARY, FL 32713
Volusia County (386) 259-4258

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 Hamidreza Ebneshahidi's NPI number?

The NPI number for Hamidreza Ebneshahidi is 1710473889. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Where is Hamidreza Ebneshahidi located?

Hamidreza Ebneshahidi practices at 110 Pond Ct Ste 301, Debary, FL 32713. The listed phone number is (386) 259-4258.

What is Hamidreza Ebneshahidi's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Hamidreza Ebneshahidi enrolled in Medicare?

Yes. Hamidreza Ebneshahidi 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.

What insurance does Hamidreza Ebneshahidi accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Hamidreza Ebneshahidi 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 Hamidreza Ebneshahidi was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.