Alireza Ebneshahidi · Family Medicine Physician

110 Pond Ct Ste 301-302, Debary, FL 32713-2709

Overview

Alireza Ebneshahidi is a Family Medicine Physician practicing in Debary, Florida. The National Provider Identifier (NPI) is #1356778880, which was assigned on September 30, 2013, and the registration record was last updated on July 21, 2025. The practitioner's main practice location is at 110 Pond Ct Ste 301-302, Debary, FL 32713-2709; the contact telephone number is 3862594258. The primary taxonomy of Alireza Ebneshahidi is Family Medicine Physician (207Q00000X). Alireza Ebneshahidi is licensed to practice in the state of Texas (#R1019).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Information

NPI 1356778880
Entity Type Individual
Provider Name DR. ALIREZA EBNESHAHIDI
Gender Male
Credential MD
Practice Address 110 Pond Ct Ste 301-302
Debary
FL 32713-2709
Practice Telephone 3862594258
Mailing Address 110 Pond Ct Ste 301-302
Debary
FL 32713-2709
Mailing Telephone 3862594258
Mailing Fax Number 8775692113
Certification Date 2025-07-21
Enumeration Date 2013-09-30
Last Update Date 2025-07-21
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 6305104621
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name ALIREZA EBNESHAHIDI
Primary Specialty FAMILY PRACTICE
Organization Legal Name GUIDEWELL SANITAS I, LLC
Address 3617 W Hillsborough Ave
Tampa
FL 33614-5713

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207Q00000XFamily MedicineR1019TX

Taxonomy Information

Primary Taxonomy

Code 207Q00000X
Taxonomy Family Medicine Physician
Classification Family Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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Novakind Health Long Beach PC 1760 Termino Ave Ste 207, Long Beach, CA 90804-2169Family Medicine Physician2025-10-11
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Location Information

Street Address 110 POND CT STE 301-302
City DEBARY
State FL
Zip Code 32713-2709
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Music Therapy Services By Hayley Spriggs 315 La Creek Ct, Debary, FL 32713-4523Music Therapist2025-10-09
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Adena Labovitz 430 Summerhaven Dr Ste 200, Debary, FL 32713-2755Marriage & Family Therapist2025-03-24
Elizabeth M Quintavalle 2808 Enterprise Rd Ste 105, Debary, FL 32713-2753Social Worker2025-04-07
Shawneece Evangellette Hunt 301 N Pine Meadow Dr, Debary, FL 32713-2375Mental Health Counselor2025-06-18
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.