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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARDIOLOGY PHYSICIANS MEMORIAL, LLC
NPI 1740559855
Internal Medicine - Interventional Cardiology in Daytona Beach, FL

Active since December 19, 2011
103 MEMORIAL MEDICAL PKWY, SUITE 200, DAYTONA BEACH, FL 32117(386) 615-1521(386) 671-0694 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, May 2, 2024, Apr 23, 2024 and 1 more (4 updates tracked since 2020).

About Cardiology Physicians Memorial, Llc NPPES

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

CARDIOLOGY PHYSICIANS MEMORIAL, LLC (NPI 1740559855) is a healthcare organization registered as an interventional cardiology in Daytona Beach, Florida and active in the NPI registry since December 2011. The organization maintains a secondary practice location in New Smyrna Beach and lists Trenae Hoskin, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1740559855
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameCARDIOLOGY PHYSICIANS MEMORIAL, LLC
Location Address103 MEMORIAL MEDICAL PKWY, SUITE 200Daytona Beach, FL 32117
Mailing Address103 Memorial Medical Pkwy Ste 200Daytona Beach, FL 32117-5672 · (386) 615-1521 · Fax (386) 671-0694
Phone(386) 615-1521
Fax(386) 671-0694
Organization SubpartNo
Authorized OfficialTrenae HoskinPractice Administrator · (386) 615-1521
Enumeration DateDecember 19, 2011
Last NPPES UpdateOctober 12, 20264 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1740559855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
103 MEMORIAL MEDICAL PKWY, Daytona Beach, FL 32117
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Secondary Practice Location 1

Location 1501 Live Oak St Ste BNew Smyrna Beach, FL 32168-7300 · Phone (386) 615-1521 · Fax (386) 671-0694

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cardiology Physicians Memorial, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Cardiology Physicians Memorial, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Cardiovascular Disease (Cardiology)6
Nurse Practitioner5
Internal Medicine2
Interventional Cardiology1

Clinicians, nearest first (14)

Dinesh Arab, M.D.
Cardiovascular Disease (Cardiology)
NPI 1902843303
103 MEMORIAL MEDICAL PKWY STE 200
Daytona Beach, FL 32117
(386) 615-1521
✔ PECOS✔ Accepts MedicareSame address
Rene Celis, MD
Cardiovascular Disease (Cardiology)
NPI 1902072044
103 MEMORIAL MEDICAL PKWY STE 200
Daytona Beach, FL 32117
(386) 615-1521
✔ PECOS✔ Accepts MedicareSame address
Mallory Gustafson, ARNP
Nurse Practitioner
NPI 1144728486
103 MEMORIAL MEDICAL PKWY STE 200
Daytona Beach, FL 32117
(386) 615-1521
✔ PECOS✔ Accepts MedicareSame address
David Henderson, M.D.
Cardiovascular Disease (Cardiology)
NPI 1750332250
103 MEMORIAL MEDICAL PKWY STE 200
Daytona Beach, FL 32117
(386) 615-1521
✔ PECOS✔ Accepts MedicareSame address
Christy Lent, APRN
Nurse Practitioner
NPI 1265146708
103 MEMORIAL MEDICAL PKWY STE 200
Daytona Beach, FL 32117
(386) 615-1521
✔ PECOS✔ Accepts MedicareSame address
Nathaniel Valin, M.D.
Cardiovascular Disease (Cardiology)
NPI 1588646616
103 MEMORIAL MEDICAL PKWY STE 200
Daytona Beach, FL 32117
(386) 615-1521
✔ PECOS✔ Accepts MedicareSame address
Marvin Lu, MD
Cardiovascular Disease (Cardiology)
NPI 1831522366
305 MEMORIAL MEDICAL PKWY STE 301
Daytona Beach, FL 32117
(386) 615-1521
✔ PECOS✔ Accepts Medicare0.2 mi
Mary Wittnebert, DNP, ARNP, FNP-BC
Nurse Practitioner
NPI 1316563604
305 MEMORIAL MEDICAL PKWY STE 301
Daytona Beach, FL 32117
(386) 231-1350
✔ PECOS✔ Accepts Medicare0.2 mi
Melissa Clegg, ARNP
Nurse Practitioner
NPI 1366991812
305 MEMORIAL MEDICAL PKWY SUITE 301
Daytona Beach, FL 32117
(386) 671-0691
✔ PECOS✔ Accepts Medicare0.2 mi
Anila Rao, DO
Internal Medicine
NPI 1730675687
501 LIVE OAK ST STE B
New Smyrna Beach, FL 32168
(386) 615-1521
✔ PECOS19 mi
Lakshmi Rao, DO
Internal Medicine
NPI 1336707439
501 LIVE OAK ST STE B
New Smyrna Beach, FL 32168
(386) 615-1521
✔ PECOS19 mi
Keniel Pierre, M.D.
Interventional Cardiology
NPI 1790170918
600 PALMETTO ST
New Smyrna Beach, FL 32168
(386) 615-1521
✔ PECOS✔ Accepts Medicare19 mi
Megan Kennedy, APRN
Nurse Practitioner
NPI 1851133292
1674 STERLING SILVER BLVD
Deltona, FL 32725
(386) 235-2261
✔ PECOS✔ Accepts Medicare25 mi
Barton Sickinger, DO FACC
Cardiovascular Disease (Cardiology)
NPI 1245223650
650 N WYMORE RD SUITE 101
Winter Park, FL 32789
(407) 644-8668
✔ PECOS✔ Accepts Medicare47 mi

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 Cardiology Physicians Memorial, LLC's NPI number?

The NPI number for Cardiology Physicians Memorial, LLC is 1740559855. It was assigned to this organization in the NPPES registry on December 19, 2011.

Where is Cardiology Physicians Memorial, LLC located?

Cardiology Physicians Memorial, LLC is located at 103 Memorial Medical Pkwy Suite 200, Daytona Beach, FL 32117. The listed phone number is (386) 615-1521.

What is Cardiology Physicians Memorial, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Cardiology Physicians Memorial, LLC enrolled in Medicare?

Yes. Cardiology Physicians Memorial, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cardiology Physicians Memorial, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Cardiology Physicians Memorial, 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. The largest specialties are Cardiovascular Disease (Cardiology) (6), Nurse Practitioner (5) and Internal Medicine (2). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cardiology Physicians Memorial, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Cardiology Physicians Memorial, 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 Cardiology Physicians Memorial, LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.