Individual provider Active NPI

Tracey McKreith, M.D.

  • Family Medicine Physician
  • Winter Park, FL
National Provider Identifier
1497185334
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 116119 Issued in FL
Practice address
133 Benmore Dr
Suite 201
Winter Park, FL 32792-4111
Phone
(407) 646-7070
NPI assigned
Nov 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 116119 FL Primary

Addresses

Primary practice location

133 Benmore Dr
Suite 201
Winter Park, FL 32792-4111

Mailing address

133 Benmore Dr
Suite 201
Winter Park, FL 32792-4111

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
I20151214001665 FL Practitioner - Family Practice 3274762836 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solantic/South Florida LLCGroup PAC ID 5496762171, 27 clinicians

Practice addresses (Care Compare)

10251 W Commercial Blvd
Tamarac, FL 33321
Phone (954) 580-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 116119FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hma/Solantic Joint Venture, LLC CurrentSince Dec 7, 2015 Accepting new patients
West Boynton Urgent Care, LLC Family Medicine CurrentSince Oct 20, 2018 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Dec 7, 2015 Accepting new patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Dec 7, 2015 Accepting new patients
Solantic/South Florida, LLC CurrentSince Dec 7, 2015 Accepting new patients

Locations

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

13460 Beach Blvd
Ste 1
Jacksonville, FL 32224
Phone (904) 854-1700

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

2415 SW College Rd
Ocala, FL 34471
Phone (352) 237-3536

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

10251 W Commercial Blvd
Sunrise, FL 33351
Phone (951) 580-4100

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

115 Eastpark Dr
Ste 300
Brentwood, TN 37027

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1497185334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR",
            "address_2": "SUITE 201",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR",
            "address_2": "SUITE 201",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924111",
            "telephone_number": "407-646-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKREITH",
        "first_name": "TRACEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 116119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.