Individual provider Active NPI

Jeffery Ray Cryar, M.D.

  • Surgery Physician
  • Altamonte Springs, FL
National Provider Identifier
1215927744
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
005924 Issued in FL
Practice address
661 E Altamonte Dr
Suite 323
Altamonte Springs, FL 32701-5105
Phone
(407) 834-6965
Fax
(407) 834-0424
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 005924 FL Primary

Addresses

Primary practice location

661 E Altamonte Dr
Suite 323
Altamonte Springs, FL 32701-5105

Mailing address

661 E Altamonte Dr
Suite 323
Altamonte Springs, FL 32701-5105
Phone (407) 834-6965

Other identifiers 1

IdentifierTypeStateIssuer
054249100MedicaidFL

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
I20110103000157 FL Practitioner - General Surgery 1355310558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 323
Altamonte Springs, FL 32701-5103
Phone (407) 834-6965

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)25
Melanoma (skin cancer) excision12
Removal of tissue13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005924FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Surgical Group, P.a. Surgery CurrentSince Sep 11, 1989 Accepting new patients
Citrus Surgical Group PA Surgery PastSince Jan 1, 1996 Accepting new patients

Locations

661 E Altamonte Dr
Ste 323
Altamonte Springs, FL 32701
Phone (407) 830-8787

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1215927744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 323",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-834-6965",
            "fax_number": "407-834-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 323",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-834-6965",
            "fax_number": "407-834-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYAR",
        "first_name": "JEFFERY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "005924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054249100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.