Mario Antonio John, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME118804 Issued in FL

Practice address

3030 Harden Blvd
Lakeland, FL 33803-7952

Phone

(863) 687-1250

Fax

(863) 687-1258

NPI assigned

Aug 1, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Orthopedic Surgery

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baycare Home Care Inc Home health agency, Lakeland, FL, CCN 107282
• Etairos Health Inc Home health agency, Tampa, FL, CCN 109428
• Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157

Merit-based Incentive Payment System (MIPS)

Final score

86.12 of 100Reported as group

Quality

64.08

Promoting interoperability

98

Improvement activities

40

Cost

76.83

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: mjohn28666@lrhs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeland Regional Health Systems, Inc.

  • Multi-Specialty Clinic/Center
  • Lakeland, FL
  • NPI 1497748743

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Hughston Orthopaedic Southeast PC

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1568914026

  FL

  Medicare reassignment NPD
• Doctors of Clinical Specialties LLC

  • Non-Pharmacy Dispensing Site
  • Kissimmee, FL
  • NPI 1366052102
  NPD
• Florida Cardiology PA

  • Cardiovascular Disease Physician
  • Winter Park, FL
  • NPI 1871543157
  NPD
• Hughston Orthopaedic Southeast PC

  • Durable Medical Equipment & Medical Supplies
  • Deland, FL
  • NPI 1659068377

  Orthopaedic Surgery

  NPD
• Lakeland Regional Medical Center, Inc.

  dba Lakeland Regional Medical Center

  • General Acute Care Hospital
  • Lakeland, FL
  • NPI 1144228446
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baycare Home Care, Inc.

  • Home Health Agency
  • Bradenton, FL
  • NPI 1295728186
  Care Compare affiliation
• Baycare Home Care, Inc.

  • Home Health Agency
  • Lakeland, FL
  • NPI 1952309171
  Care Compare affiliation
• Etairos Health, Inc

  dba Utopia Home Care

  • In Home Supportive Care Agency
  • Tampa, FL
  • NPI 1639495328

  Home health agency

  Care Compare affiliation
• Lakeland Regional Medical Center, Inc.

  dba Lakeland Regional Medical Center

  • General Acute Care Hospital
  • Lakeland, FL
  • NPI 1144228446
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1407012164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "STE 210",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "telephone_number": "407-500-3627",
            "fax_number": "407-930-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338037952",
            "telephone_number": "863-687-1250",
            "fax_number": "863-687-1258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7440 Red Bug Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327657154",
            "country_code": "US",
            "telephone_number": "407-500-3627",
            "fax_number": "407-930-4353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W State Road 434 Ste 301",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327505162",
            "country_code": "US",
            "telephone_number": "407-500-3627",
            "fax_number": "407-930-4353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Citrus Tower Blvd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111906",
            "country_code": "US",
            "telephone_number": "407-500-3627",
            "fax_number": "407-930-4353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W North Blvd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485063",
            "country_code": "US",
            "telephone_number": "352-728-3000 x353",
            "fax_number": "352-728-2603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "483 N SEMORAN BLVD",
            "address_2": "STE 210",
            "address_purpose": "LOCATION",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923800",
            "country_code": "US",
            "telephone_number": "407-500-3627",
            "fax_number": "407-930-4353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "MARIO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME118804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjohn28666@LRHS.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3030 Harden Blvd",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338037952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David F Johler, CRNA
• John D. Woody, MD, PA
• John H Paul DMD PA
• John O Tucker DC PA
• Jobin John
• Tessie S John, PHARM.D., CPH, RPH
• Trilanda Johns, RDN
• Stephanie Ann Johnson Marrero, MD
• Crystal Richelle Johnson-Opoku, RN
• Alana Johnson

• Orthopaedic Surgery Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; 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.

Verify at the official NPI Registry.