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Active NPI 1104576149 Individual Practitioner Male Practitioner

Dr. Jeevan Shivakumar , MD

Internal Medicine • Daytona Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeevan Shivakumar, MD is a certified Internal Medicine practicing in Daytona Beach, FL. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Shivakumar delivers high-quality medical care to the local community at 301 MEMORIAL MEDICAL PKWY.

Dr. Shivakumar is affiliated with Florida Hospital Healthcare Partners, Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

301 Memorial Medical Pkwy

Daytona Beach, FL 321175167

Telephone 3862311090
Fax 3862311092
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Daytona Beach, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -11.1 yrs vs City Avg
City Avg: 20.1 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
56 Specialists

Practicing in Daytona Beach, FL (10650 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shivakumar (9 Years) 9 Yrs
Daytona Beach Specialty Average (20.1 Years) 20.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-23
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME172469

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Florida Hospital Healthcare Partners, Inc

301 Memorial Medical Pkwy, Daytona Beach, FL 321175167

Phone: 3862316000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dhrumil Patel

Internal Medicine

NPI 1013441047
Angela Ricci , PA

Physician Assistant

NPI 1215234984

Physician Assistant

Dr. Preanka Dhanoa , MD

Internal Medicine

NPI 1417680471

Doctor of Medicine (M.D.)

Joseph Yanni , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1588452429

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Harjot Kahlon

Internal Medicine

NPI 1629182381
Dr. Darpan Bhuva , MD

Internal Medicine

NPI 1639433303

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 23, 2025

Registered at 301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 321175167 (Tel: 3862311090)

📍
Updated Business Mailing Address July 23, 2025

Registered at 770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 321745179

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2025

Internal Medicine (License #ME172469 in FL)

NPI Profile Active March 29, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2022

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 4402690174)

📍
Updated Business Mailing Address March 29, 2022

Registered at 111 E 210TH ST, BRONX, NY 104672401

👤
Provider Name / Credentials Updated March 29, 2022

Recorded as JEEVAN SHIVAKUMAR, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 24, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104576149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2022
Last Update: July 23, 2025
Sole Proprietor: Yes

Mailing Address

770 W Granada Blvd Ste 101

Ormond Beach, FL 321745179

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.