CARL BURAK M.D.
NPI 1780792762
Specialist in Jacksonville Beach, FL

Q: What is Carl Burak's NPI number?

The NPI number for Carl Burak is 1780792762. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Carl Burak's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Carl Burak enrolled in Medicare?

No. Carl Burak has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Carl Burak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 29, 2006Opted out of Medicare · through Oct 1, 2026

482 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250(904) 247-3600(904) 247-4926 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carl Burak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARL BURAK M.D. (NPI 1780792762) is an individual specialist in Jacksonville Beach, Florida, licensed in Florida (ME0056172) and active in the NPI registry since August 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780792762

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameCARL BURAKCredential: M.D.

Location Address482 JACKSONVILLE DRJacksonville Beach, FL 32250-3812

Mailing Address482 Jacksonville DrJacksonville Beach, FL 32250-3812 · (904) 247-3600 · Fax (904) 247-4926

Phone(904) 247-3600

Fax(904) 247-4926

Sole ProprietorYes

Enumeration DateAugust 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1780792762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME0056172

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

482 JACKSONVILLE DR, Jacksonville Beach, FL 32250

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Other Identifiers 1

Medicare ID-Type Unspecified12733FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carl Burak M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2012 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2012

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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