Individual provider Active NPI

Craig Norman Defreese, M.D.

  • General Practice Physician
  • Longwood, FL
National Provider Identifier
1992706279
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME45778 Issued in FL
Practice address
346 Freeman St Ste 214a
Longwood, FL 32750-4171
Phone
(407) 347-4711
Fax
(407) 830-9040
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME45778 FL Primary

Addresses

Primary practice location

346 Freeman St Ste 214a
Longwood, FL 32750-4171

Mailing address

346 Freeman St Ste 214a
Longwood, FL 32750-4171
Phone (407) 347-4711

Other identifiers 2

IdentifierTypeStateIssuer
N8408OtherFLHF MEDICARE
041486700MedicaidFL

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
I20120119000811 FL Practitioner - Obstetrics/Gynecology 9335316074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 224
Altamonte Springs, FL 32701-5102
Phone (407) 830-9000

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC General Practice CurrentSince Jan 1, 2025 Accepting new patients

Locations

661 E Altamonte Dr
Ste 224
Altamonte Springs, FL 32701
Phone (407) 830-9000

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

Organizations & group practices 1

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 2

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1992706279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 FREEMAN ST STE 214A",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504171",
            "telephone_number": "407-347-4711",
            "fax_number": "407-830-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 FREEMAN ST STE 214A",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504171",
            "telephone_number": "407-347-4711",
            "fax_number": "407-830-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFREESE",
        "first_name": "CRAIG",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME45778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HF MEDICARE",
            "identifier": "N8408",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041486700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.