Active NPI
Joshua Lotfallah, M.D.
- Psychiatry Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME148388
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M400075449 | Other | IN | MEDICARE PTAN |
| 236040219 | Other | IN | MEDICARE PTAN |
| 300002814 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, 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
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Serenity TMS Centers LLC | Psychiatry | Current | Accepting new patients |
| Beacon Medical Group, Inc. | Psychiatry | Current | 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.
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- Psychiatry Physician
- South Bend, IN
- NPI 1629376645
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.