Individual provider Active NPI

Mark A. Beckner, M.D.

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1447258249
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0044623 Issued in FL
Practice address
8701 Maitland Summit Blvd
Orlando, FL 32810-5915
Phone
(407) 916-4120
Fax
(407) 643-2806
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME0044623 FL
Orthopaedic Surgery Physician 207X00000X ME0044623 FL Primary

Addresses

Primary practice location

8701 Maitland Summit Blvd
Orlando, FL 32810-5915

Mailing address

8701 Maitland Summit Blvd
Orlando, FL 32810-5915
Phone (407) 916-4120

Other identifiers 3

IdentifierTypeStateIssuer
062674100MedicaidFL
200032072OtherFLRAILROAD
65275OtherFLBC/BS

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
I20100125000616 FL Practitioner - Orthopedic Surgery 7315984531 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0044623FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Orlando Health Medical Group Inc Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

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

8701 Maitland Summit Blvd
Orlando, FL 32810
Phone (407) 200-2759

1285 Orange Ave
Winter Park, FL 32789
Phone (407) 647-2287

Interoperability endpoints

  • Direct secure messaging: mbeckner@jortho1643.srs-direct.com
  • Direct secure messaging: mbeckner26948@orlandohealth.medalliesdirect.net

Organizations & group practices 3

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1447258249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 MAITLAND SUMMIT BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105915",
            "telephone_number": "407-916-4120",
            "fax_number": "407-643-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 MAITLAND SUMMIT BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105915",
            "telephone_number": "407-916-4120",
            "fax_number": "407-643-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKNER",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME0044623",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0044623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062674100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "200032072",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "65275",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.