JOHAN FREDRIK NORDENSTAM (MD) – Surgery Physician, NPI 1952614265

JOHAN FREDRIK NORDENSTAM (MD) is a healthcare provider. based in Gainesville, Florida. specializing in GENERAL SURGERY, COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials MD. They hold a License No. MFC1849 (FL). The NPI Number for JOHAN FREDRIK NORDENSTAM (MD) is 1952614265

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
JOHAN FREDRIK NORDENSTAM (MD)
NPI
1952614265
Phone
(352) 265-0169
Address
1600 SW ARCHER RD
Enumeration Date
16 July 2010
Last Update Date
2 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522650111
Graduation Year
1996 (30 years ago)
PAC ID
5698961332
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20211028001392
Address ID
FL326103003GA1600XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

2,163 GENERAL SURGERY in FL

Provider Addresses for JOHAN FREDRIK NORDENSTAM (MD)

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326104795

    Phone: (352) 265-0169

    Type: Location

  • 840 S WOOD ST

    SUITE 518 CSB -MC 957

    CHICAGO, IL 606124325

    Phone: (312) 996-2061

    Fax: (312) 996-1214

    Type: Mailing

  • 1801 W TAYLOR ST

    OCC 3F

    CHICAGO, IL 606124795

    Phone: (312) 355-4300

    Fax: (312) 413-1206

    Type: Location

  • PO BOX 100109

    GAINESVILLE, FL 326100001

    Phone: (352) 265-0169

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2023-03-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($244).

Total Amount

$244

General + Research + Ownership

Payments

3

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$244
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: 2021-10-28

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
I20211028001392IGeneral SurgeryFLTBD

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
99204New patient office or other outpatient visit, 45-59 minutes3737$0
99214Established patient office or other outpatient visit, 30-39 minutes3431$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare2121$0
99213Established patient office or other outpatient visit, 20-29 minutes1716$0
45380Biopsy of large bowel using a flexible endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 32610)

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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: 0345146254View full group profile

Reviews

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Frequently asked questions

Does JOHAN FREDRIK NORDENSTAM (MD) have a public NPI I can cite?
Public records show JOHAN FREDRIK NORDENSTAM (MD) under NPI 1952614265.
Is JOHAN FREDRIK NORDENSTAM (MD)'s NPI status active today?
Active status means JOHAN FREDRIK NORDENSTAM (MD)'s NPI record is not deactivated in the public file.
How should patients interpret JOHAN FREDRIK NORDENSTAM (MD)'s specialty?
The extract shows Surgery Physician for JOHAN FREDRIK NORDENSTAM (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHAN FREDRIK NORDENSTAM (MD)?
JOHAN FREDRIK NORDENSTAM (MD) is associated with Gainesville, Florida in the same public data insurers reference.
Who maintains JOHAN FREDRIK NORDENSTAM (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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