Individual provider Active NPI

John W Knappman, M.D.

  • Family Medicine Physician
  • Merritt Island, FL
National Provider Identifier
1053384875
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0051565 Issued in FL
Practice address
2404 N Courtenay Pkwy
Suite D
Merritt Island, FL 32953-4191
Phone
(321) 452-4470
Fax
(321) 452-4442
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0051565 FL Primary

Addresses

Primary practice location

2404 N Courtenay Pkwy
Suite D
Merritt Island, FL 32953-4191

Mailing address

PO Box 11406
Belfast, ME 04915-4005
Phone (321) 452-4470

Other identifiers 1

IdentifierTypeStateIssuer
251527000MedicaidFL

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
I20061016000183 FL Practitioner - Family Practice 8820996473 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0051565FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. Family Medicine CurrentSince May 1, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Stewart and Stewart a Medical Corporation Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2404 N Courtenay Pkwy
#D
Merritt Island, FL 32953
Phone (321) 261-0055

255 N Sykes Creek Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 338-7885

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Interoperability endpoints

  • Direct secure messaging: john.knappman.1@15594.direct.athenahealth.com

Organizations & group practices 4

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1053384875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11406",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154005",
            "telephone_number": "321-452-4470",
            "fax_number": "321-452-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 N COURTENAY PKWY",
            "address_2": "SUITE D",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534191",
            "telephone_number": "321-452-4470",
            "fax_number": "321-452-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPPMAN",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0051565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251527000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.