Individual provider Active NPI

John O Gernert, M.D.

  • Interventional Pain Medicine Physician
  • Longwood, FL
National Provider Identifier
1609808419
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME87839 Issued in FL
Practice address
515 W State Road 434
Suite 201
Longwood, FL 32750
Phone
(407) 745-1115
Fax
(833) 775-1872
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME87839 FL
Interventional Pain Medicine Physician 208VP0014X ME87839 FL Primary

Addresses

Primary practice location

515 W State Road 434
Suite 201
Longwood, FL 32750

Mailing address

515 W State Road 434
Suite 201
Longwood, FL 32750
Phone (407) 745-1115

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
I20050519000250 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 9436056017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

515 W State Rd
434 Suite 201
Longwood, FL 32750-5162
Phone (407) 745-1115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36689TNMDInternal Medicine Physician
ME87839FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Pain Centers of Excellence LLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Anesthesia Healthcare Partners of Tennessee PLLC Anesthesiology Past Accepting new patients
Anesthesia Outpatient Specialists Anesthesiology Past Accepting new patients
Community Anesthesia, PC Anesthesiology Past Accepting new patients
Wolverine Anesthesia Consultants, Inc. Anesthesiology Past Accepting new patients
Ahp of Central Florida ASC LLC Anesthesiology Past Accepting new patients
Anesthesia Health Care Partners of Florida Inc Anesthesiology Past Accepting new patients

Locations

515 W State Road 434
Ste 201
Longwood, FL 32750
Phone (407) 265-7775

265 E Rollins St
Ste 2100
Orlando, FL 32804

1730 Dunlawton Ave
Ste 3
Port Orange, FL 32127
Phone (386) 423-9161

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25533/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1609808419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W STATE ROAD 434",
            "address_2": "SUITE 201",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "32750",
            "telephone_number": "407-745-1115",
            "fax_number": "833-775-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W STATE ROAD 434",
            "address_2": "SUITE 201",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "32750",
            "telephone_number": "407-745-1115",
            "fax_number": "833-775-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERNERT",
        "first_name": "JOHN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME87839",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME87839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.