Individual provider Active NPI

John K. Burgers, M.D.

  • Urology Physician
  • Ormond Beach, FL
National Provider Identifier
1982622353
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME158380 Issued in FL
Practice address
300 Clyde Morris Blvd Ste C
Ormond Beach, FL 32174-5909
Phone
(386) 673-5100
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35060981 OH
Urology Physician 208800000X ME158380 FL Primary

Addresses

Primary practice location

300 Clyde Morris Blvd Ste C
Ormond Beach, FL 32174-5909

Mailing address

100 Metropolitan Park Dr Ste 100
Liverpool, NY 13088-5842
Phone (315) 870-9370

Other identifiers 1

IdentifierTypeStateIssuer
0822668MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, 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
I20050825001077 OH Practitioner - Urology 9436133535 Reassigns benefits to 1 organization
I20230118000051 FL Practitioner - Urology 9436133535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Johns Hopkins University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Urology Center PAGroup PAC ID 8224927132, 11 clinicians

Practice addresses (Care Compare)

300 Clyde Morris Blvd
Suite C
Ormond Beach, FL 32174-5956
Phone (386) 673-5100

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118

Merit-based Incentive Payment System (MIPS)

Final score
97.35 of 100Reported as group
Quality
100
Improvement activities
40
Cost
91.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME158380FLMDUrology Physician
35060981OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Urology Group, LLC Urology CurrentSince Jan 1, 2008 Accepting new patients
Florida Urology Center PA Urology CurrentSince Feb 1, 2023 Accepting new patients
Central Ohio Urology Group, LLC Urology CurrentSince Jan 1, 2008 Accepting new patients
Central Ohio Urology Surgery Center, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

300 Clyde Morris Blvd
Ste C
Ormond Beach, FL 32174
Phone (386) 673-5100

300 Clyde Morris Blvd
Ste B
Ormond Beach, FL 32174
Phone (386) 672-1080

84 Pinnacles Dr
Ste 500
Palm Coast, FL 32164
Phone (386) 313-5990

21 Hospital Dr
Ste 250
Palm Coast, FL 32164
Phone (386) 445-8528

3555 Olentangy River Rd
Ste 4020
Columbus, OH 43214
Phone (614) 268-2323

8200 Hazelton Etna Rd SW
Etna, OH 43062
Phone (614) 221-5189

701 Tech Center Dr
Ste 100
Gahanna, OH 43230
Phone (440) 724-4498

701 Tech Center Dr
Ste 200
Gahanna, OH 43230
Phone (614) 396-2670

701 Tech Center Dr
Ste 250
Gahanna, OH 43230

350 W Wilson Bridge Rd
Worthington, OH 43085
Phone (614) 796-2900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.burgers@fluro.directbygreenway.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1982622353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 METROPOLITAN PARK DR STE 100",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885842",
            "telephone_number": "315-870-9370",
            "fax_number": "315-870-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLYDE MORRIS BLVD STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745909",
            "telephone_number": "386-673-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGERS",
        "first_name": "JOHN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35060981",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME158380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0822668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.