Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeevan Shivakumar, MD

Individual provider Internal Medicine Physician · NPI 1104576149

Jeevan Shivakumar, MD is an Internal Medicine in Daytona Beach, Florida. Qualified in 2017, 9 years ago. Practices with Florida Hospital Healthcare Partners, Inc, a 605-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone: (386) 231-1090
Fax: (386) 231-1092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME172469 (FL)

Record details

NPI number1104576149
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2022
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address770 W Granada Blvd Ste 101, Ormond Beach, FL 32174-5179

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Florida Hospital Healthcare Partners, Inc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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