Individual provider Active NPI

Jesus Lanza, MD

  • Pulmonary Disease Physician
  • Saint Petersburg, FL
National Provider Identifier
1134421407
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME128187 Issued in FL
Practice address
6500 38TH Ave N
Saint Petersburg, FL 33710-1629
Phone
(727) 384-1414
NPI assigned
Nov 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME128187 FL
Pulmonary Disease Physician 207RP1001X 266832 NY
Pulmonary Disease Physician 207RP1001X ME128187 FL Primary

Addresses

Primary practice location

6500 38TH Ave N
Saint Petersburg, FL 33710-1629

Mailing address

9105 Tillinghast Dr
Tampa, FL 33626-1625

Other identifiers 1

IdentifierTypeStateIssuer
1025493970001MedicaidPA

Other names 1

  • Jesus Cristo Lanza Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20140619001277 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 4688856412 Reassigns benefits to 2 organizations
I20160713000362 FL Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4688856412 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6000 49TH St N
St Petersburg, FL 33709-2114
Phone (727) 521-4411

6500 38TH Ave N
Saint Petersburg, FL 33710-1629
Phone (727) 384-1414

Hospital & facility affiliations

  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180
  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Consortium Inc Critical Care Medicine CurrentSince May 17, 2016 Accepting new patients
Northern Westchester Hospital Association Current Accepting new patients
Northern Westchester Hospital Association CurrentSince Apr 1, 2014 Accepting new patients
Lanza Medical and Pulmonary Associates LLC Pulmonary Disease CurrentSince Jul 19, 2018 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Nov 1, 2021 Accepting new patients
Adventist Health System-Sunbelt Inc Critical Care Medicine CurrentSince Nov 1, 2021 Accepting new patients
Northern Westchester Hospital Association Critical Care Medicine CurrentSince Apr 1, 2014 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Nov 1, 2021 Accepting new patients
Wyckoff Professional Medical Services, PC Pulmonary Disease CurrentSince Aug 3, 2015 Accepting new patients
Cogent Healthcare of Pennsylvania, Inc. Past Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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 2

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": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1134421407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 TILLINGHAST DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261625",
            "fax_number": "727-384-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 38TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101629",
            "telephone_number": "727-384-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZA",
        "first_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-18",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME128187",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "266832",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME128187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025493970001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESUS",
            "last_name": "LANZA",
            "middle_name": "CRISTO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.