ADVANCED GASTROENTEROLOGY HEALTH CARE CENTERS
NPI 1790790277
Internal Medicine - Gastroenterology in Port Orange, FL

Active since July 31, 2006
1690 DUNLAWTON AVE, SUITE 210, PORT ORANGE, FL 32127(386) 763-4920(386) 763-4939 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Gastroenterology Health Care Centers NPPES

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

ADVANCED GASTROENTEROLOGY HEALTH CARE CENTERS (NPI 1790790277) is a healthcare organization registered as a gastroenterology in Port Orange, Florida and active in the NPI registry since July 2006. The organization maintains 2 additional practice locations and lists Ammar Hemaidan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1790790277
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameADVANCED GASTROENTEROLOGY HEALTH CARE CENTERS
Location Address1690 DUNLAWTON AVE, SUITE 210Port Orange, FL 32127-8980
Mailing Address1690 Dunlawton Ave Ste 210Port Orange, FL 32127-8980 · (386) 763-4920 · Fax (386) 763-4939
Fax(386) 763-4939
Organization SubpartNo
Authorized OfficialAmmar HemaidanMedical Director · (386) 763-4920
Enumeration DateJuly 31, 2006
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1790790277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1690 DUNLAWTON AVE, Port Orange, FL 32127

Secondary Practice Locations 2

Location 11690 Dunlawton Ave Ste 230Port Orange, FL 32127-8980 · Phone (386) 763-4920 · Fax (386) 763-4939
Location 21890 Lpga Blvd Ste 270Daytona Beach, FL 32117-7131 · Phone (386) 763-4920 · Fax (386) 763-4920

Other Identifiers 2

Medicaid267121200FL
Other45571FL · Bcbs

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Gastroenterology Health Care Centers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20040220000397Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Advanced Gastroenterology Health Care Centers, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Gastroenterology
NPI 1376962878
1690 DUNLAWTON AVE STE 210
Port Orange, FL 32127
(386) 763-4920
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1548095763
1690 DUNLAWTON AVE STE 210
Port Orange, FL 32127
(386) 795-4324
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1033149752
1690 DUNLAWTON AVE STE 120
Port Orange, FL 32127
(386) 271-2273
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730902883
1500 BEVILLE RD STE 502
Daytona Beach, FL 32114
(386) 231-4690
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1902684749
1667 N CLYDE MORRIS BLVD STE 2
Daytona Beach, FL 32117
(863) 518-6401
✔ PECOS✔ Accepts Medicare8.9 mi
Gastroenterology
NPI 1275806721
4705 MONTGOMERY BLVD NE STE 201
Albuquerque, NM 87109
(505) 727-7833
✔ PECOS✔ Accepts Medicare1,550 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 Advanced Gastroenterology Health Care Centers's NPI number?

The NPI number for Advanced Gastroenterology Health Care Centers is 1790790277. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Advanced Gastroenterology Health Care Centers located?

Advanced Gastroenterology Health Care Centers is located at 1690 Dunlawton Ave Suite 210, Port Orange, FL 32127. The listed phone number is (386) 763-4920.

What is Advanced Gastroenterology Health Care Centers's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Advanced Gastroenterology Health Care Centers enrolled in Medicare?

Yes. Advanced Gastroenterology Health Care Centers is registered in the Medicare PECOS enrollment system.

When is Advanced Gastroenterology Health Care Centers's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Gastroenterology Health Care Centers?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Gastroenterology Health Care Centers. 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 Gastroenterology (4) and Nurse Practitioner (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Gastroenterology Health Care Centers accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Advanced Gastroenterology Health Care Centers 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 Advanced Gastroenterology Health Care Centers was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.