Individual provider Active NPI

John Richard Hartman, MD

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1104834027
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME35428 Issued in FL
Practice address
1300 Kevstin Dr
Kissimmee, FL 34744-5843
Phone
(321) 442-1214
Fax
(321) 442-1215
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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 ME35428 FL Primary

Addresses

Primary practice location

1300 Kevstin Dr
Kissimmee, FL 34744-5843

Mailing address

1600 Budinger Ave Ste D
Saint Cloud, FL 34769-6005
Phone (407) 892-3387

Other identifiers 1

IdentifierTypeStateIssuer
45232700MedicaidFL

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
I20051130000130 FL Practitioner - Family Practice 3678556701 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc Family Medicine CurrentSince May 1, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2020 Accepting new patients
Chuck R. Colas, D.O., P.C. Family Medicine Past Accepting new patients
Mgroup Integrated Physician Services, PA PastSince Feb 24, 2020 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1300 Kevstin Dr
Kissimmee, FL 34744
Phone (321) 442-1214

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

1600 Budinger Ave
Ste D
Saint Cloud, FL 34769
Phone (407) 826-3006

Interoperability endpoints

  • Direct secure messaging: jhartman178988@orlandohealth.medalliesdirect.net

Organizations & group practices 8

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1104834027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BUDINGER AVE STE D",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696005",
            "telephone_number": "407-892-3387",
            "fax_number": "407-892-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 KEVSTIN DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445843",
            "telephone_number": "321-442-1214",
            "fax_number": "321-442-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME35428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45232700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.