DR. JOHN P OUDERKIRK (MD) – Infectious Disease Physician, NPI 1548260508

DR. JOHN P OUDERKIRK (MD) is a healthcare provider. based in Champions gate, Florida. specializing in INTERNAL MEDICINE, INFECTIOUS DISEASE. They hold the professional credentials MD. They hold a License No. 049992 (GA). The NPI Number for DR. JOHN P OUDERKIRK (MD) is 1548260508

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN P OUDERKIRK (MD)
NPI
1548260508
Phone
(407) 390-1677
Address
8390 CHAMPIONS GATE BLVD
Enumeration Date
29 July 2005
Last Update Date
27 July 2016

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4045884680
Graduation Year
1996 (30 years ago)
PAC ID
1759567407
Group Practice PAC ID
2668369109
Professional Enrollment ID
I20110516000236
Address ID
GA303081416AT735XXNEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for DR. JOHN P OUDERKIRK (MD)

  • 8390, ChampionsGate Boulevard, ChampionsGate, Osceola County, Florida, 33896, United States

    SUITE 215

    CHAMPIONS GATE, FL 338968310

    Phone: (407) 390-1677

    Fax: (407) 390-1765

    Type: Mailing

  • 735, Piedmont Avenue Northeast, Sweet Auburn, Atlanta, Georgia, 30303, United States

    ATLANTA, GA 303081416

    Phone: (404) 588-4680

    Fax: (404) 588-4692

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $565.

Total Amount is formed as General ($565) + Research ($0) + Ownership ($0) = $565.

Last reported payment date: 2024-05-13 • Largest payer in this snapshot: Theratechnologies Inc. ($458).

Total Amount

$565

General + Research + Ownership

Payments

9

Total payment records

General Amount

$565

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110516000236IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9150$0
99213Established patient office or other outpatient visit, 20-29 minutes2421$0
View full utilization report →

Insurance plans in this area (ZIP 33896)

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Provider's Procedures

DR. JOHN P OUDERKIRK (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA90670Pneumococcal vaccine for injection into muscle1919

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668369109View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. JOHN P OUDERKIRK (MD)?
The federal identifier for DR. JOHN P OUDERKIRK (MD) is NPI 1548260508.
Is DR. JOHN P OUDERKIRK (MD) active in the national directory?
DR. JOHN P OUDERKIRK (MD)'s public NPI profile is in an active state.
Can you summarize DR. JOHN P OUDERKIRK (MD)'s specialty in plain language?
Clinically, the directory lists DR. JOHN P OUDERKIRK (MD) with Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JOHN P OUDERKIRK (MD)'s primary listing?
We display Champions Gate, Florida because that is what the record indicates for DR. JOHN P OUDERKIRK (MD).
Is DR. JOHN P OUDERKIRK (MD) a real provider?
This page reflects official NPPES data for NPI 1548260508. Always confirm identity and privileges with the practice and licensing boards.

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