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Active NPI 1710473889 Individual Practitioner Male Practitioner

Dr. Hamidreza Ebneshahidi , MD

General Practice • Debary, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Hamidreza Ebneshahidi, MD is a certified General Practice practicing in Debary, FL. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Ebneshahidi delivers high-quality medical care to the local community at 110 POND CT STE 301.

Dr. Ebneshahidi is affiliated with Premier Physician Associates, P.A. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, blood glucose (sugar) test performed by hand-held instrument, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

110 Pond Ct Ste 301

Debary, FL 327132717

Telephone 3862594258
Fax 8775692113
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Debary, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +5.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Debary, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ebneshahidi (18 Years) 18 Yrs
Debary Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
36 19 $200.00 $127.07

Medical Specialties & State Licenses

CMS Verified: 2025-11-21
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN1122

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 19992

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Premier Physician Associates, P.a.

110 Pond Ct, Debary, FL 327132717

Phone: 8185750204

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1356778880

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location November 21, 2025

Registered at 110 POND CT STE 301, DEBARY, FL 327132717 (Tel: 3862594258)

📍
Updated Business Mailing Address November 21, 2025

Registered at 110 POND CT STE 301, DEBARY, FL 327132717 (Tel: 3862594258)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2025

General Practice (License #ACN1122 in FL)

📍
Updated Practice Location April 27, 2023

Registered at 601 E DIXIE AVE STE 102, LEESBURG, FL 347485953 (Tel: 3523508888)

📍
Updated Business Mailing Address April 27, 2023

Registered at 601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 336025925 (Tel: 8004805243)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2023

General Practice (License #19992 in PR)

📍
Updated Practice Location March 21, 2019

Registered at 21 S CHARLES RICHARD BEALL BLVD, DEBARY, FL 327133342 (Tel: 3865160930)

📍
Updated Business Mailing Address March 21, 2019

Registered at 21 S CHARLES RICHARD BEALL BLVD, DEBARY, FL 327133342 (Tel: 3865160930)

👤
Provider Name / Credentials Updated March 21, 2019

Recorded as HAMIDREZA EBNESHAHIDI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2019

General Practice (License #ACN1122 in FL)

NPI Profile Active July 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2018

Registered at 2 CALLE RAA ALTURAS DE VEGA BAJA, VEGA BAJA, PR 006935601 (Tel: 8185750095)

📍
Updated Business Mailing Address July 02, 2018

Registered at 2 CALLE RAA ALTURAS DE VEGA BAJA, VEGA BAJA, PR 00693 (Tel: 8185750095)

👤
Provider Name / Credentials Updated July 02, 2018

Recorded as HAMIDREZA EBNESHAHIDI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2018

General Practice (License #19992 in PR)

🟢
Initial NPI Registration & Enumeration July 02, 2018

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: 1710473889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2018
Last Update: November 21, 2025
Sole Proprietor: Yes

Mailing Address

110 Pond Ct Ste 301

Debary, FL 327132717

Phone: 3862594258

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.