Individual provider Active NPI

John Paul Kartsonis, MD

  • Dermatology Physician
  • Jacksonville, FL
National Provider Identifier
1023089182
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME0046965 Issued in FL
Practice address
7711 Baymeadows Rd E Ste 6
Jacksonville, FL 32256-9110
Phone
(904) 731-1770
Fax
(904) 996-8300
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME0046965 FL Primary

Addresses

Primary practice location

7711 Baymeadows Rd E Ste 6
Jacksonville, FL 32256-9110

Mailing address

7711 Baymeadows Rd E Ste 6
Jacksonville, FL 32256-9110
Phone (904) 731-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060717000212 FL Practitioner - Dermatology 0547273575

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0046965FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas K Pierce MD PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1023089182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 BAYMEADOWS RD E STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569110",
            "telephone_number": "904-731-1770",
            "fax_number": "904-996-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 BAYMEADOWS RD E STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569110",
            "telephone_number": "904-731-1770",
            "fax_number": "904-996-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARTSONIS",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0046965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.