Individual provider Active NPI

Justin Lindquist, M.D.

  • Neurology Physician
  • Orlando, FL
National Provider Identifier
1457411944
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME107776 Issued in FL
Practice address
3849 Oakwater Cir
Orlando, FL 32806-6264
Phone
(407) 240-1762
NPI assigned
Dec 12, 2006
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101268316 VA
Neurology Physician 2084N0400X 50793-020 WI
Neurology Physician 2084N0400X ME107776 FL Primary

Addresses

Primary practice location

3849 Oakwater Cir
Orlando, FL 32806-6264

Mailing address

3849 Oakwater Cir
Orlando, FL 32806-6264
Phone (407) 240-1762

Other practice location 1

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100

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
I20130806000485 FL Practitioner - Neurology 4688816523 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Lakeview Healthcare System, LLCGroup PAC ID 8921074733, 25 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378

410 Fern Dr
Leesburg, FL 34748-7008
Phone (352) 812-8200

5036 SE 110TH St
Belleview, FL 34420-3759
Phone (352) 693-3378

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50793-020WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Services of Orlando PA Neurology CurrentSince Aug 15, 2013 Accepting new patients
Lakeview Healthcare System, LLC CurrentSince Aug 1, 2023 Accepting new patients
Stages of Life Medical Institute CurrentSince Jan 2, 2023 Accepting new patients
Lakeview Healthcare System, LLC CurrentSince Aug 1, 2023 Accepting new patients
Orlando Epilepsy Center Inc Neurology Past Accepting new patients

Locations

4106 W Lake Mary Blvd
Ste 305
Lake Mary, FL 32746
Phone (319) 768-1180

410 Fern Dr
Leesburg, FL 34748
Phone (352) 218-8200

1917 Boothe Cir
Longwood, FL 32750
Phone (407) 321-3299

18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755

3849 Oakwater Cir
Orlando, FL 32806
Phone (407) 237-6336

10250 SE 167th Place Rd
Unit 5
Summerfield, FL 34491
Phone (352) 307-9225

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jlindqui@yourcarecommunity.org
  • Direct secure messaging: justin.lindquist@cumberland-directmessage.com

Organizations & group practices 5

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.

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1457411944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066264",
            "telephone_number": "407-240-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066264",
            "telephone_number": "407-240-1762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Warwick Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-5100",
            "fax_number": "757-534-5395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDQUIST",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101268316",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "50793-020",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME107776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.