Individual provider Active NPI

Donald R Czerniach Jr., M.D.

  • Surgery Physician
  • Kissimmee, FL
National Provider Identifier
1275515694
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
209844 Issued in MA
Practice address
2400 N Orange Blossom TRL
Ste 210
Kissimmee, FL 34744-2308
Phone
(407) 944-3071
Fax
(407) 944-3061
NPI assigned
Nov 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 209844 MA Primary

Addresses

Primary practice location

2400 N Orange Blossom TRL
Ste 210
Kissimmee, FL 34744-2308

Mailing address

2400 N Orange Blossom TRL
Ste 210
Kissimmee, FL 34744-2308
Phone (407) 944-3071

Other identifiers 1

IdentifierTypeStateIssuer
110004420AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041201000932 MA Practitioner - General Surgery 3678539673
I20260522002154 FL Practitioner - General Surgery 3678539673

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers New Jersey Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2400 N Orange Blossom TRL
Suite 210
Kissimmee, FL 34741-2308

900 Hope Way
Altamonte Springs, FL 32714-1502

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209844MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc Surgery CurrentSince Mar 29, 2008 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Mar 29, 2008 Accepting new patients
Florida Hospital Medical Group Inc Surgery CurrentSince Jul 13, 2026 Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
Florida Hospital Medical Group Inc PastSince Jul 13, 2026 Accepting new patients

Locations

2400 N Orange Blossom Trl
Ste 210
Kissimmee, FL 34744
Phone (407) 933-2500

201 Hilda St
Ste 26
Kissimmee, FL 34741
Phone (407) 944-3071

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

91 Water St
Milford, MA 01757
Phone (508) 458-4250

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

67 Belmont St
Worcester, MA 01605
Phone (508) 334-8996

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

Interoperability endpoints

  • Direct secure messaging: dczerniach22482@umassmemorial.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 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": "1132444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1275515694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL",
            "address_2": "STE 210",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442308",
            "telephone_number": "407-944-3071",
            "fax_number": "407-944-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL",
            "address_2": "STE 210",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442308",
            "telephone_number": "407-944-3071",
            "fax_number": "407-944-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZERNIACH",
        "first_name": "DONALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-20",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "209844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110004420A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.