Individual provider Active NPI

John Daniel Burress, DO

  • Family Medicine Physician
  • Lady Lake, FL
National Provider Identifier
1649295973
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8014 Issued in FL
Practice address
607 Highway 466
Lady Lake, FL 32159-3792
Phone
(352) 259-7994
Fax
(352) 259-7992
NPI assigned
Jul 13, 2006
Last updated
Feb 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 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 OS8014 FL Primary

Addresses

Primary practice location

607 Highway 466
Lady Lake, FL 32159-3792

Mailing address

PO Box 1777
Lady Lake, FL 32158-1777
Phone (352) 259-7994

Other identifiers 4

IdentifierTypeStateIssuer
080190404OtherFLRAILROAD MEDICARE
01116YOtherFLMEDICARE PTAN
01116OtherFLBCBS OF FLORIDA
01116ZOtherFLMEDICARE PTAN

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
I20040206000067 FL Practitioner - Family PracticePractitioner - Other (Physician) 6800789504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Enterprises IncGroup PAC ID 9830082536, 5 clinicians

Practice addresses (Care Compare)

607 Hwy 466
Lady Lake, FL 32159-3792
Phone (352) 259-7994

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal503
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Regeneration of Florida LLC CurrentSince Apr 1, 2023 Accepting new patients
Family Health Enterprises Inc Family Medicine CurrentSince Feb 11, 2002 Accepting new patients
Primary Options Inc Family Medicine PastSince Oct 2, 2003 Accepting new patients

Locations

607 Highway 466
Lady Lake, FL 32159
Phone (352) 259-7994

120 State St E
Ste 104
Oldsmar, FL 34677
Phone (813) 556-7440

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1649295973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1777",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321581777",
            "telephone_number": "352-259-7994",
            "fax_number": "352-259-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 HIGHWAY 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593792",
            "telephone_number": "352-259-7994",
            "fax_number": "352-259-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRESS",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080190404",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "01116Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "01116",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "01116Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.