Individual provider Active NPI

Jonathan Ryan Schroeder, D.O.

  • Pulmonary Disease Physician
  • Winter Park, FL
National Provider Identifier
1124343512
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
OS12192 Issued in FL
Practice address
1110 N Kentucky Ave
Winter Park, FL 32789-4741
Phone
(407) 539-2766
Fax
(407) 539-2786
NPI assigned
Mar 29, 2010
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X OS12192 FL
Pulmonary Disease Physician 207RP1001X OS12192 FL Primary

Addresses

Primary practice location

1110 N Kentucky Ave
Winter Park, FL 32789-4741

Mailing address

1110 N Kentucky Ave
Winter Park, FL 32789-4741
Phone (407) 539-2766

Other practice location 1

1876 Nightingale Ln
Tavares, FL 32778-4359
Phone (352) 742-4447

Other identifiers 1

IdentifierTypeStateIssuer
009900300MedicaidFL

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
I20131213000364 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7416184676 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2501 N Orange Ave
Orlando, FL 32804-4641

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12192FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Aug 3, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 3, 2020 Accepting new patients
Pulmonary Critical Care and Sleep Pulmonary Disease CurrentSince Jan 2, 2019 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Nov 11, 2013 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Nov 11, 2013 Accepting new patients
Pulmonary Care of Central Florida PastSince Aug 1, 2003 Accepting new patients

Locations

5401 S Congress Ave
Ste 204
Lake Worth, FL 33462
Phone (561) 967-4118

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEEBD
  • Direct secure messaging: jschroeder58083@adventhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1124343512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N KENTUCKY AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894741",
            "telephone_number": "407-539-2766",
            "fax_number": "407-539-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N KENTUCKY AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894741",
            "telephone_number": "407-539-2766",
            "fax_number": "407-539-2786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1876 Nightingale Ln",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784359",
            "country_code": "US",
            "telephone_number": "352-742-4447",
            "fax_number": "352-742-4448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JONATHAN",
        "middle_name": "RYAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "OS12192",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS12192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009900300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.