FADI KANDAH DO
NPI 1770043259
Internal Medicine - Cardiovascular Disease in Saint Augustine, FL
About Fadi Kandah Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FADI KANDAH DO (NPI 1770043259) is an individual cardiovascular disease provider in Saint Augustine, Florida, licensed in Florida (OS22197) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2019).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 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
Fadi Kandah Do 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 Fadi Kandah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gainesville, FL 32610
- Reassigned Medicare billing, Florida enrollment
- 3,324 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Shands Jacksonville
Acute Care Hospitals · Jacksonville, FLFlagler Hospital
Acute Care Hospitals · Saint Augustine, FLFlorida Hospital Flagler
Acute Care Hospitals · Palm Coast, FLMayo Clinic
Acute Care Hospitals · Jacksonville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ST AUGUSTINE, FL 32086
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 Fadi Kandah's NPI number?
The NPI number for Fadi Kandah is 1770043259. It was assigned to this individual provider in the NPPES registry on March 21, 2019.
Where is Fadi Kandah located?
Fadi Kandah practices at 100 Whetstone Pl Ste 102, Saint Augustine, FL 32086. The listed phone number is (904) 342-8300.
What is Fadi Kandah's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Fadi Kandah enrolled in Medicare?
Yes. Fadi Kandah 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 Fadi Kandah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fadi Kandah reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, 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 Fadi Kandah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fadi Kandah accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Fadi Kandah 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.
Is Fadi Kandah affiliated with any hospitals?
According to CMS data, Fadi Kandah is affiliated with Shands Jacksonville, Flagler Hospital, Florida Hospital Flagler and Mayo Clinic.
When was this NPI record last updated?
The NPPES record for Fadi Kandah was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Fadi Kandah, DO · NPI 1770043259
Cardiovascular Disease physician in Saint Augustine, Florida. Individual provider, active in the CMS NPPES registry since March 21, 2019.
## Identity
- **NPI:** 1770043259 (Entity type: Individual)
- **Enumerated:** March 21, 2019
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** OS22197 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 WHETSTONE PL STE 102, Saint Augustine, FL 32086-5775
- **Phone:** (904) 342-8300
## 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:** Florida Clinical Practice Association Inc (NPI 1063463768, Gainesville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2019
## Record status
- **NPPES last updated:** September 17, 2025
- **Other identifiers:** Medicaid 127955400 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1770043259) · Data from the CMS NPPES public registry.