Individual provider Active NPI

Kurtis B Mohr, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1093955346
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 107951 Issued in FL
Practice address
17 N Summerlin Ave Ste 100
Orlando, FL 32801-2951
Phone
(833) 773-7407
Fax
(407) 544-0117
NPI assigned
Feb 26, 2009
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C172522 CA
Family Medicine Physician 207Q00000X ME 107951 FL Primary
Infectious Disease Physician 207RI0200X ME107951 FL

Addresses

Primary practice location

17 N Summerlin Ave Ste 100
Orlando, FL 32801-2951

Mailing address

17 N Summerlin Ave Ste 100
Orlando, FL 32801-2951
Phone (833) 773-7407

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
I20260430000448 FL Practitioner - Family Practice 4082899521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-3567

3305 Altrick Dr
Plano, TX 75093-8089

407 Lincoln Rd
Suite 6D
Miami Beach, FL 33139-3055

960 Back Stage LN
Orlando, FL 32830-8472

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 107951FLMDFamily Medicine Physician
57.012957OHMDFamily Medicine Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1093955346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N SUMMERLIN AVE STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012951",
            "telephone_number": "833-773-7407",
            "fax_number": "407-544-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N SUMMERLIN AVE STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012951",
            "telephone_number": "833-773-7407",
            "fax_number": "407-544-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHR",
        "first_name": "KURTIS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C172522",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 107951",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME107951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.