Individual provider Active NPI

Jurij Kiefer, MD

  • Plastic and Reconstructive Surgery Physician
  • Orlando, FL
National Provider Identifier
1316627474
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME171433 Issued in FL
Practice address
125 W Copeland Dr
Orlando, FL 32806-2101
Phone
(321) 841-7090
Fax
(321) 843-2267
NPI assigned
Jul 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 764351 TX
Plastic and Reconstructive Surgery Physician 2086S0122X ME171433 FL Primary

Addresses

Primary practice location

125 W Copeland Dr
Orlando, FL 32806-2101

Mailing address

125 W Copeland Dr
Orlando, FL 32806-2101
Phone (321) 841-7090

Other practice location 1

1400 Pressler St Unit 1488
Houston, TX 77030-3722
Phone (832) 794-1899

Other identifiers 1

IdentifierTypeStateIssuer
125470300MedicaidFL

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
I20250106003340 FL Practitioner - Plastic and Reconstructive Surgery 3274061106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

125 W Copeland Dr
Orlando, FL 32806-2101
Phone (321) 841-7090

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
764351TXMDPlastic Surgery Physician
ME171433FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

125 W Copeland Dr
Orlando, FL 32806
Phone (321) 841-7090

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 1

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1316627474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W COPELAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062101",
            "telephone_number": "321-841-7090",
            "fax_number": "321-843-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W COPELAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062101",
            "telephone_number": "321-841-7090",
            "fax_number": "321-843-2267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Pressler St Unit 1488",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303722",
            "country_code": "US",
            "telephone_number": "832-794-1899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIEFER",
        "first_name": "JURIJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "764351",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME171433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125470300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.