Active NPI
Jeremy Richard John, MD, MPH
- Surgery Physician
- Celebration, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME142761
- Practice address
- 380 Celebration PL FL 2
Celebration, FL 34747-4606 - Phone
- (407) 303-4760
- Fax
- (407) 303-4546
- NPI assigned
- Apr 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 079673 | GA | |
| Surgery Physician | 208600000X | ME142761 | FL | Primary |
Addresses
Primary practice location
380 Celebration PL FL 2
Celebration, FL 34747-4606
Mailing address
380 Celebration PL FL 2
Celebration, FL 34747-4606
Phone (407) 303-4760
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Emory University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
380 Celebration PL
FL 2
Celebration, FL 34747-4606
Phone (407) 303-4760
Hospital & facility affiliations
- Adventhealth Orlando
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 31 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Surgery | Current | Accepting new patients |
Locations
380 Celebration Pl
Fl 2
Kissimmee, FL 34747
Phone (407) 303-4190
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jjohn73763@adventhealth.direct-ci.com
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.
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1285078436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 CELEBRATION PL FL 2",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474606",
"telephone_number": "407-303-4760",
"fax_number": "407-303-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 CELEBRATION PL FL 2",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474606",
"telephone_number": "407-303-4760",
"fax_number": "407-303-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "JEREMY",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-18",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "GA",
"license": "079673",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME142761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Celebration, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.