Individual provider Active NPI

Daniel Kessler, DO

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1306003025
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10198 Issued in FL
Practice address
9759 San Jose Blvd
Building 2
Jacksonville, FL 32257-4401
Phone
(904) 622-9035
Fax
(904) 493-2222
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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 OS10198 FL Primary

Addresses

Primary practice location

9759 San Jose Blvd
Building 2
Jacksonville, FL 32257-4401

Mailing address

PO Box 551308
Jacksonville, FL 32255-1308
Phone (904) 622-9035

Other identifiers 1

IdentifierTypeStateIssuer
000987200MedicaidFL

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
I20091111000196 FL Practitioner - Family Practice 3779621818 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS10198FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solantic/South Florida, LLC CurrentSince Feb 4, 2018 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Feb 4, 2018 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince May 1, 2018 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince May 1, 2018 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC Family Medicine CurrentSince Feb 4, 2018 Accepting new patients
West Boynton Urgent Care, LLC Family Medicine CurrentSince Aug 13, 2019 Accepting new patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Feb 4, 2018 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Feb 4, 2018 Accepting new patients

Locations

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

3581 SW Archer Rd
Ste 40
Gainesville, FL 32608
Phone (352) 888-4449

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

2032 Dunn Ave
Jacksonville, FL 32218
Phone (904) 757-2008

136 Parliament Loop
Ste 1020
Lake Mary, FL 32746
Phone (407) 333-0160

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

2140 Kingsley Ave
Orange Park, FL 32073
Phone (904) 213-0600

2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1205 N University Dr
Pompano Beach, FL 33071
Phone (954) 780-8134

1611 S Federal Hwy
Pompano Beach, FL 33062
Phone (954) 580-4001

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

5355 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (321) 304-3300

Interoperability endpoints

  • Direct secure messaging: daniel.kessler.1@20088.direct.athenahealth.com

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1306003025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551308",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551308",
            "telephone_number": "904-622-9035",
            "fax_number": "904-493-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9759 SAN JOSE BLVD",
            "address_2": "BUILDING 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574401",
            "telephone_number": "904-622-9035",
            "fax_number": "904-493-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000987200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.