John P Ouderkirk, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

049992 Issued in GA

Practice address

735 Piedmont Ave NE
Atlanta, GA 30308-1416

Phone

(404) 588-4680

Fax

(404) 588-4692

NPI assigned

Jul 29, 2005

Last updated

Jul 27, 2016By the provider in NPPES

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

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in GA

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

Internal MedicineAlso: Infectious Disease

Education

George Washington University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

T Douglas Gurley MD LLCGroup PAC ID 8022097831, 2 clinicians

AIDS Healthcare FoundationGroup PAC ID 2668369109, 101 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.5 of 100Reported as group

Quality

64.78

Improvement activities

40

Cost

79.23

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.ouderkirk.1@26356.direct.athenahealth.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.

• AIDS Healthcare Foundation

  dba Ahf

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1730705047
  Medicare reassignment Care Compare group NPD
• Elysium Health and Wellness

  • Infectious Disease Physician
  • Sandy Springs, GA
  • NPI 1245340835
  Medicare reassignment Care Compare group NPD
• Id Group of Atlanta

  • Non-Pharmacy Dispensing Site
  • Atlanta, GA
  • NPI 1063833267
  Authorized official Same address or phone
• Infectious Disease Group of Atlanta, LLC

  dba ID Group of Atlanta, LLC

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1558430363
  Authorized official Same address or phone
• AIDS Healthcare Foundation

  dba Ahf

  • Health Service Clinic/Center
  • North Miami Beach, FL
  • NPI 1427218874
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1548260508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD",
            "address_2": "SUITE 215",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968310",
            "telephone_number": "407-390-1677",
            "fax_number": "407-390-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PIEDMONT AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081416",
            "telephone_number": "404-588-4680",
            "fax_number": "404-588-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUDERKIRK",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "049992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "453538",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7439283",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000926318A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTH",
            "identifier": "7439283",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "8625897001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2647814",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "440003559",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roseline Otunga, FNP
• Jason Robert Otwell
• Spring Ou-Tim, CPNP
• Dave Wei-Huie Ou, MD
• Serge Ouanounou, M.D.
• Lionel Kouankap Ouonkap
• Our Community Healthcare System Inc (O.C.H.S.)
• Our House, Inc.
• Our Lady of Perpetual Help Home
• Opal Ousley, PHD

• Infectious Disease Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Infectious Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.