Individual provider Active NPI

Joshua Krumenacker, MD, PHD

  • Family Medicine Physician
  • Wellington, FL
National Provider Identifier
1841589280
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME169496 Issued in FL
Practice address
1037 S State Road 7 Ste 211
Wellington, FL 33414-6139
Phone
(561) 798-3030
Fax
(561) 798-8242
NPI assigned
Apr 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01073491A IN
Family Medicine Physician 207Q00000X 89640 SC
Family Medicine Physician 207Q00000X ME169496 FL Primary

Addresses

Primary practice location

1037 S State Road 7 Ste 211
Wellington, FL 33414-6139

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (833) 702-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230526002288 SC Practitioner - Family Practice 0345486817
I20241120001033 FL Practitioner - Family Practice 0345486817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1037 S State Rd
7 Suite 211
Wellington, FL 33414-6139
Phone (561) 798-3030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME169496FLMDFamily Medicine Physician
01073491AINMDFamily Medicine Physician
89640SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovacare Florida Urgent Care, LLC CurrentSince Jan 20, 2025 Accepting new patients
Innovacare Florida Physicians, LLC Family Medicine Current Accepting new patients
Conway Hospital Community Services Family Medicine Current Accepting new patients
Premier Family Health Family Medicine CurrentSince Jan 20, 2025 Accepting new patients
Orlando Family Physicians, LLC Family Medicine Past Accepting new patients

Locations

15689 Southern Blvd
Unit 102
Loxahatchee, FL 33470

15689 Southern Blvd
Unit 101
Lxhtchee Grvs, FL 33470
Phone (561) 614-1116

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

1037 S State Road 7
Ste 113
Wellington, FL 33414

1037 S State Road 7
Ste 211
Wellington, FL 33414
Phone (561) 798-8300

1213 Elm St
Aynor, SC 29511
Phone (843) 358-5806

51 11th Ave
Aynor, SC 29511
Phone (843) 358-3700

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

Interoperability endpoints

  • Direct secure messaging: joshua.krumenacker.1@27472.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27472/brand/9/csg/1/fhir/r4
  • Direct secure messaging: joshua.krumenacker@conwaymedicalcenter.cernerdirect.com

Organizations & group practices 5

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1841589280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "833-702-8383",
            "fax_number": "689-304-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 S STATE ROAD 7 STE 211",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146139",
            "telephone_number": "561-798-3030",
            "fax_number": "561-798-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMENACKER",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01073491A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "89640",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME169496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.