John Joseph Im, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS8729 Issued in FL

Practice address

11950 County Road 101
Suite 101
The Villages, FL 32162-9332

Phone

(352) 391-5200

Fax

(352) 391-5903

NPI assigned

Jul 31, 2007

Last updated

Jan 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Emergency Medicine

Education

Michigan State University College of Osteopathic Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
• Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Merit-based Incentive Payment System (MIPS)

Final score

94.17 of 100Reported as individual

Quality

88.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

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.

• Exceptional Urgent Care Center I Inc

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1700898467
  NPD Authorized official
• Dolphin Emergency Physicians LLC

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1871542712
  NPD (past)
• Florida Em-I Medical Services PA

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1881643740
  NPD (past)
• Magnolia Emergency Physicians LLC

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1164471090
  NPD (past)
• Patriot Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Ocala, FL
  • NPI 1801299870
  NPD (past)

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

• Leesburg Regional Medical Center Inc

  dba Uf Health Emergency/Urgent Care Eustis Mt. Dora

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1245001189

  Hospital

  Care Compare affiliation
• Leesburg Regional Medical Center Inc

  • General Acute Care Hospital
  • Leesburg, FL
  • NPI 1245226190
  Care Compare affiliation
• LRMC Urgent Care Center

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1598841389

  Hospital

  Care Compare affiliation
• Villages Tri-County Medical Center Inc.

  dba UF Health Spanish Plaines Hospital

  • General Acute Care Hospital
  • The Villages, FL
  • NPI 1740276518
  Care Compare affiliation

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1922298454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 COUNTY ROAD 101",
            "address_2": "SUITE 101",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629332",
            "telephone_number": "352-391-5200",
            "fax_number": "352-391-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 COUNTY ROAD 101",
            "address_2": "SUITE 101",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629332",
            "telephone_number": "352-391-5200",
            "fax_number": "352-391-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IM",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS8729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• An Huynh
• Stephanie Deianne Hynes, APRN
• Hysong Surgical Associates PA
• Ramy Ibrahim, M.D.
• Ilisten, LLC
• Inchek Diabetes Centers, Inc.
• Infectious Disease and Wound Care Solutions, LLC
• Innovative Senior Care Home Health of Ocala LLC (HCA Florida Healthcare at Home)
• Integrative Physical Medicine of the Villages, LLC (Integrative Physical Medicine)
• Interventional Pain Institute

• General Practice Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.