Individual provider Active NPI

Joshua Lotfallah, M.D.

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1114272184
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME148388 Issued in FL
Practice address
9400 Southpark Center Loop Ste 450
Orlando, FL 32819-8647
Phone
(689) 282-6774
NPI assigned
Jul 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01077980A IN
Psychiatry Physician 2084P0800X ME148388 FL Primary

Addresses

Primary practice location

9400 Southpark Center Loop Ste 450
Orlando, FL 32819-8647

Mailing address

9400 Southpark Center Loop Ste 450
Orlando, FL 32819-8647

Other practice location 1

1090 S Tamiami Trl
Sarasota, FL 34236-9116
Phone (941) 363-0878

Other practice location 2

255 Primera Blvd Ste 520
Lake Mary, FL 32746-2158
Phone (689) 282-6774

Other practice location 3

841 Prudential Dr Ste 1100
Jacksonville, FL 32207-8352
Phone (904) 902-4408

Other practice location 4

203 Fort Wade Rd Unit 250
Ponte Vedra Beach, FL 32081-5214
Phone (904) 902-4408

Other identifiers 3

IdentifierTypeStateIssuer
M400075449OtherINMEDICARE PTAN
236040219OtherINMEDICARE PTAN
300002814MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170607001394 IN Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 4284865932 Reassigns benefits to 1 organization
I20210427000290 FL Practitioner - Psychiatry 4284865932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serenity TMS Centers LLCGroup PAC ID 0840550596, 45 clinicians
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

203 Fort Wade Rd
Unit 260
Ponte Vedra, FL 32081-5159
Phone (904) 902-4408

707 N Michigan St
400 BMG Behavioral Health South Bend
South Bend, IN 46601-1071
Phone (574) 647-8470

Hospital & facility affiliations

  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group Inc CurrentSince Jul 1, 2017 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Serenity TMS Centers LLC Psychiatry CurrentSince Jun 1, 2024 Accepting new patients
Beacon Medical Group, Inc. Psychiatry CurrentSince Jul 1, 2017 Accepting new patients

Locations

6622 Southpoint Dr S
Ste 400A
Jacksonville, FL 32216
Phone (904) 902-4408

841 Prudential Dr
Ste 1100
Jacksonville, FL 32207
Phone (904) 344-3489

255 Primera Blvd
Ste 520
Lake Mary, FL 32746
Phone (689) 282-6774

255 Primera Blvd
Ste 264
Lake Mary, FL 32746
Phone (689) 206-0540

9400 Southpark Center Loop
Ste 450
Orlando, FL 32819
Phone (689) 282-6774

9102 Southpark Center Loop
Ste 120
Orlando, FL 32819
Phone (689) 282-6774

203 Fort Wade Rd
Unit 250
Ponte Vedra Beach, FL 32081
Phone (904) 902-4408

203 Fort Wade Rd
Unit 260
Ponte Vedra Beach, FL 32081
Phone (904) 344-3613

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

900 I St
Laporte, IN 46350
Phone (219) 324-1670

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

707 N Michigan St
Ste 400
South Bend, IN 46601
Phone (574) 647-4500

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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 1

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1114272184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 SOUTHPARK CENTER LOOP STE 450",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 SOUTHPARK CENTER LOOP STE 450",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198647",
            "telephone_number": "689-282-6774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342369116",
            "country_code": "US",
            "telephone_number": "941-363-0878",
            "fax_number": "716-242-3360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Primera Blvd Ste 520",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462158",
            "country_code": "US",
            "telephone_number": "689-282-6774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Prudential Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078352",
            "country_code": "US",
            "telephone_number": "904-902-4408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Fort Wade Rd Unit 250",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320815214",
            "country_code": "US",
            "telephone_number": "904-902-4408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTFALLAH",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01077980A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME148388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M400075449",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "236040219",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300002814",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.