Active NPI
Antonio Desean Lozada
- Surgical Critical Care Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- ME169115
- Practice address
- 1887 Kingsley Ave Ste 1900
Orange Park, FL 32073-4451 - Phone
- (904) 276-2549
- Fax
- (904) 276-9235
- NPI assigned
- Apr 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 036145468 | IL | |
| Surgical Critical Care Physician | 2086S0102X | ME169115 | FL | Primary |
Addresses
Primary practice location
1887 Kingsley Ave Ste 1900
Orange Park, FL 32073-4451
Mailing address
1887 Kingsley Ave Ste 1900
Orange Park, FL 32073-4451
Phone (904) 276-2549
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alozada14075@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Saint Louis University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1887 Kingsley Ave
Suite 1900
Orange Park, FL 32073-4451
Phone (904) 276-2549
Hospital & facility affiliations
- HCA Florida Orange Park Hospital
- HCA Florida Lake City Hospital
- HCA Florida Putnam Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.88 of 100
- Quality
- 63.91
- Improvement activities
- 40
- Cost
- 77.03
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036145468 | IL | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Trauma Services, LLC | Trauma Surgery | Current | Accepting new patients |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Past | Accepting new patients |
Locations
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
1887 Kingsley Ave
Ste 1900
Orange Park, FL 32073
Phone (904) 272-9981
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
305 W Jackson St
Ste 302
Carbondale, IL 62901
Phone (618) 457-3006
1239 E Main St
Carbondale, IL 62901
305 W Jackson St
Ste 206
Carbondale, IL 62901
Phone (618) 457-3006
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- alozada14075@sih.direct-ci.com
- antonio.lozada@hca5.eclinicaldirectplus.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 and National Provider Directory roles.
-
- Trauma Surgery Physician
- Fort Walton Beach, FL
- NPI 1477296952
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1154510808
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lake City, FL
- NPI 1992751879
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1053677047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1887 KINGSLEY AVE STE 1900",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734451",
"telephone_number": "904-276-2549",
"fax_number": "904-276-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1887 KINGSLEY AVE STE 1900",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734451",
"telephone_number": "904-276-2549",
"fax_number": "904-276-9235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZADA",
"first_name": "ANTONIO",
"middle_name": "DESEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IL",
"license": "036145468",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME169115",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alozada14075@sih.direct-ci.com",
"affiliation": "N",
"address_1": "305 W Jackson St Ste 206",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011474",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.