Individual provider Active NPI

John David Sanderson, DO

  • Sports Medicine (Family Medicine) Physician
  • Orlando, FL
National Provider Identifier
1699262733
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
OS16376 Issued in FL
Practice address
7243 Della Dr Ste I
Orlando, FL 32819-5126
Phone
(321) 843-5851
Fax
(321) 842-0089
NPI assigned
Apr 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X OS16376 FL Primary

Addresses

Primary practice location

7243 Della Dr Ste I
Orlando, FL 32819-5126

Mailing address

7243 Della Dr Ste I
Orlando, FL 32819-5126
Phone (321) 843-5851

Other practice location 1

1417 E Concord St
Orlando, FL 32803-5409
Phone (407) 936-2785

Other identifiers 1

IdentifierTypeStateIssuer
120593700MedicaidFL

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
I20231201000730 FL Practitioner - Sports Medicine 1153757653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2018
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
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

7243 Della Dr
Suite B
Orlando, FL 32819-5106
Phone (407) 650-1300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

16966 Cagan Ridge Blvd
Clermont, FL 34714
Phone (352) 536-8761

1001 E Osceola Pkwy
Kissimmee, FL 34744
Phone (321) 842-1270

7243 Della Dr
Ste I
Orlando, FL 32819
Phone (321) 428-0060

7243 Della Dr
Ste B
Orlando, FL 32819

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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 5

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": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1699262733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7243 DELLA DR STE I",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195126",
            "telephone_number": "321-843-5851",
            "fax_number": "321-842-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7243 DELLA DR STE I",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195126",
            "telephone_number": "321-843-5851",
            "fax_number": "321-842-0089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1417 E Concord St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328035409",
            "country_code": "US",
            "telephone_number": "407-936-2785",
            "fax_number": "407-898-2969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "OS16376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120593700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.