Individual provider Active NPI

John L Meisenheimer, MD

  • MOHS-Micrographic Surgery Physician
  • Orlando, FL
National Provider Identifier
1033101647
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME49727 Issued in FL
Practice address
7300 Sandlake Commons Blvd
Suite 105
Orlando, FL 32819-8050
Phone
(407) 352-2444
Fax
(407) 363-2869
NPI assigned
Aug 19, 2005
Reactivated
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME49727 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME49727 FL Primary
Procedural Dermatology Physician 207NS0135X ME49727 FL

Addresses

Primary practice location

7300 Sandlake Commons Blvd
Suite 105
Orlando, FL 32819-8050

Mailing address

7300 Sandlake Commons Blvd
Suite 105
Orlando, FL 32819-8050
Phone (407) 352-2444

Other identifiers 1

IdentifierTypeStateIssuer
04058OtherFLBCBS PIN

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
I20100517000311 FL Practitioner - Dermatology 2567590276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Kentucky College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7300 Sandlake Commons Blvd
Suite 105
Orlando, FL 32819-8011
Phone (407) 352-2444

Merit-based Incentive Payment System (MIPS)

Final score
85.25 of 100Reported as individual
Quality
70.51
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision48
Removal of tissue105
Removal of skin lesions1724
Removal of skin cancer1015
Removal or shaving of skin growth142
Skin biopsy1641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME49727FLMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John L Meisenheimer MD PA Mohs-Micrographic Surgery CurrentSince Feb 24, 2010 Accepting new patients

Locations

7300 Sandlake Commons Blvd
Ste 105
Orlando, FL 32819
Phone (407) 352-2444

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1033101647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SANDLAKE COMMONS BLVD",
            "address_2": "SUITE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198050",
            "telephone_number": "407-352-2444",
            "fax_number": "407-363-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SANDLAKE COMMONS BLVD",
            "address_2": "SUITE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198050",
            "telephone_number": "407-352-2444",
            "fax_number": "407-363-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISENHEIMER",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2007-09-24",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME49727",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME49727",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME49727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "04058",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.