DR. HAMIDREZA EBNESHAHIDI MD
NPI 1710473889
General Practice in Debary, FL
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Hamidreza Ebneshahidi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Debary, FL 32713
- Reassigned Medicare billing, Florida enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Hamidreza Ebneshahidi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hamidreza Ebneshahidi reassigns Medicare benefits to Premier Physician Associates, P.A. (Debary, 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 Hamidreza Ebneshahidi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 11 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.
# Dr. Hamidreza Ebneshahidi, MD · NPI 1710473889
General Practice physician in Debary, Florida. Individual provider, active in the CMS NPPES registry since July 2, 2018.
## Identity
- **NPI:** 1710473889 (Entity type: Individual)
- **Enumerated:** July 2, 2018
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** ACN1122 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 110 POND CT STE 301, Debary, FL 32713-2717
- **Phone:** (386) 259-4258 · **Fax:** (877) 569-2113
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Premier Physician Associates, P.A. (NPI 1073396073, Debary, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** November 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710473889) · Data from the CMS NPPES public registry.