Individual provider Active NPI

Dominika Lozowska, MD

  • Neurology Physician
  • Jacksonville, FL
National Provider Identifier
1154552396
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME140076 Issued in FL
Practice address
841 Prudential Dr FL 10
Jacksonville, FL 32207-8329
Phone
(904) 398-5404
Fax
(904) 391-5545
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X ME140076 FL
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 26285 WV
Clinical Neurophysiology Physician 2084N0600X ME140076 FL
Neurology Physician 2084N0400X 26285 WV
Neurology Physician 2084N0400X C2002 KY
Clinical Neurophysiology Physician 2084N0600X 26285 WV
Neurology Physician 2084N0400X ME140076 FL Primary

Addresses

Primary practice location

841 Prudential Dr FL 10
Jacksonville, FL 32207-8329

Mailing address

PO Box 746649
Atlanta, GA 30374-6649
Phone (904) 376-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, 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
I20151002001434 WV Practitioner - Neurology 2466763339 Reassigns benefits to 1 organization
I20240122001582 FL Practitioner - Neurology 2466763339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians
Baptist Neurology IncGroup PAC ID 0345366704, 47 clinicians

Practice addresses (Care Compare)

484 Riverside Ave
Jacksonville, FL 32202-4912

841 Prudential Dr
Jacksonville, FL 32207-8329
Phone (904) 398-5404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.46 of 100Reported as group
Quality
75.65
Promoting interoperability
100
Improvement activities
40
Cost
80.06

Merit-based Incentive Payment System (MIPS)

Final score
44.67 of 100Reported as group
Quality
19.32
Promoting interoperability
0
Improvement activities
40
Cost
79.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26285WVMDNeuromuscular Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Neurology Inc Neurology CurrentSince Mar 1, 2024 Accepting new patients
Baptist Neurology Inc Neurology CurrentSince Mar 1, 2024 Accepting new patients
Monongalia County General Hospital Company CurrentSince Sep 1, 2020 Accepting new patients
Baptist Primary Care Inc Past Accepting new patients

Locations

841 Prudential Dr
Fl 10
Jacksonville, FL 32207
Phone (904) 398-5404

841 Prudential Dr
Ste 10
Jacksonville, FL 32207

1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

2199 Cheat Rd
Morgantown, WV 26508
Phone (304) 594-3258

Interoperability endpoints

  • Direct secure messaging: dlozowska173078@baptisthealthsystemjacksonville.direct-ci.com

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 4

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": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1154552396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746649",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746649",
            "telephone_number": "904-376-4400",
            "fax_number": "904-391-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR FL 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078329",
            "telephone_number": "904-398-5404",
            "fax_number": "904-391-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZOWSKA",
        "first_name": "DOMINIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "FL",
            "license": "ME140076",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "WV",
            "license": "26285",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "FL",
            "license": "ME140076",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "26285",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "C2002",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "WV",
            "license": "26285",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME140076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.