John W Wassenaar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME55422 Issued in FL

Practice address

929 S Tamiami TRL
Suite 101
Osprey, FL 34229-9239

Phone

(941) 917-4700

Fax

(941) 917-4710

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

University of Florida College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
• Sarasota Memorial Homecare Home health agency, Sarasota, FL, CCN 107710
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.wassenaar@fpg.directbygreenway.com

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.

• SMH Physician Services Inc

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1346295292
  Medicare reassignment Care Compare group NPD
• SMH Physician Services Inc

  • Gynecology Physician
  • Sarasota, FL
  • NPI 1275525826
  NPD (past)
• SMH Physician Services Inc

  • Maternal & Fetal Medicine Physician
  • Sarasota, FL
  • NPI 1689665424
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baycare Home Care, Inc.

  • Home Health Agency
  • Sarasota, FL
  • NPI 1013915149
  Care Compare affiliation
• Patients First Home Care, LLC

  • Home Health Agency
  • Sarasota, FL
  • NPI 1245845312
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • North Venice, FL
  • NPI 1013534445
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1669462297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 S TAMIAMI TRL",
            "address_2": "SUITE 101",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299239",
            "telephone_number": "941-917-4700",
            "fax_number": "941-917-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSENAAR",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME55422",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME55422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09140",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062118800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel J Van Ingen, PSY.D.
• Vivek & Priyanka Gupta LLC
• Bradley Wagner
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Gretchen White, LCSW LLC
• Wound RX Medical Services of Florida LLC
• Joseph S Yeh, MD

• Internal Medicine Physician in Osprey, FL
• Providers in Osprey, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.