Individual provider Active NPI

Craig Yunk, M.D.

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1992058606
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME114139 Issued in FL
Practice address
1530 Celebration Blvd Ste 103
Kissimmee, FL 34747-5165
Phone
(407) 566-8898
Fax
(407) 566-8892
NPI assigned
Oct 18, 2012
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME114139 FL Primary

Addresses

Primary practice location

1530 Celebration Blvd Ste 103
Kissimmee, FL 34747-5165

Mailing address

1530 Celebration Blvd Ste 103
Celebration, FL 34747-5165
Phone (407) 566-8898

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
I20130828000887 FL Practitioner - Family Practice 3274776901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1530 Celebration Blvd
Celebration, FL 34747-5164

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Aug 12, 2013 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 12, 2013 Accepting new patients
Celebration Family Physicians LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

1530 Celebration Blvd
Ste 101
Kissimmee, FL 34747
Phone (407) 566-0404

1530 Celebration Blvd
Ste 103
Kissimmee, FL 34747
Phone (407) 566-8898

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

Interoperability endpoints

  • Direct secure messaging: cyunk129016@adventhealth.direct-ci.com

Organizations & group practices 3

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": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1992058606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD STE 103",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475165",
            "telephone_number": "407-566-8898",
            "fax_number": "407-566-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 CELEBRATION BLVD STE 103",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347475165",
            "telephone_number": "407-566-8898",
            "fax_number": "407-566-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNK",
        "first_name": "CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.