Active NPI
John J McGetrick Jr., M.D.
- Urology Physician
- Kissimmee, FL
National Provider Identifier
1497071047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME124033
- Practice address
- 810 N Rose Ave
Kissimmee, FL 34741-4944 - Phone
- (407) 943-7100
- Fax
- (407) 943-7328
- NPI assigned
- Apr 7, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME124033 | FL | Primary |
Addresses
Primary practice location
810 N Rose Ave
Kissimmee, FL 34741-4944
Mailing address
810 N Rose Ave
Kissimmee, FL 34741-4944
Phone (407) 943-7100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JOHN.MCGETRICK@hca4.eclinicaldirectplus.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150727001457 | FL | Practitioner - Urology | 1658503032 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Chicago, Pritzker School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ackerman Cancer Center PA
Practice addresses (Care Compare)
533 W Twincourt TRL
Suite 701
St Augustine, FL 32095-8884
Phone (904) 490-7400
Hospital & facility affiliations
- Ascension St Vincent'S St Johns County
- Flagler Hospital
- Baptist Health Medical Center - Jacksonville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME124033 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ackerman Cancer Center, PA | Urology | Current | Accepting new patients |
| Ackerman Cancer Center, PA | Urology | Current | Accepting new patients |
| Ackerman Cancer Center, PA | Urology | Past | Accepting new patients |
| Ackerman Cancer Center, PA | Past | Accepting new patients | |
| Ackerman Cancer Center, PA | Urology | Past | Accepting new patients |
| Ackerman Cancer Center, PA | Urology | Past | Accepting new patients |
Locations
1340 S 18th St
Ste 103
Fernandina Beach, FL 32034
Phone (904) 277-2700
10881 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 260-3022
2 Shircliff Way
Jacksonville, FL 32204
Phone (904) 308-7411
13155 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 221-2222
533 W Twincourt Trl
Ste 701
St Augustine, FL 32095
Phone (904) 399-0667
Interoperability endpoints
- john.mcgetrick@hca4.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1972529493
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1497071047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 N ROSE AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414944",
"telephone_number": "407-943-7100",
"fax_number": "407-943-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 N ROSE AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414944",
"telephone_number": "407-943-7100",
"fax_number": "407-943-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGETRICK",
"first_name": "JOHN",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-07",
"last_updated": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME124033",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JOHN.MCGETRICK@hca4.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "810 N Rose Ave",
"city": "Kissimmee",
"state": "FL",
"country_code": "US",
"postal_code": "347414944",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.