Individual provider Active NPI

Joanna M Lowisz, D.O.

  • Pediatric Cardiology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1285992354
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
OS19772 Issued in FL
Practice address
11310 Legacy Ave
Palm Beach Gardens, FL 33410-3658
Phone
(561) 514-7390
NPI assigned
Apr 26, 2012
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 036.137152 IL
Pediatric Cardiology Physician 2080P0202X 64300 MN
Pediatric Cardiology Physician 2080P0202X OS19772 FL Primary

Addresses

Primary practice location

11310 Legacy Ave
Palm Beach Gardens, FL 33410-3658

Mailing address

11310 Legacy Ave
Palm Beach Gardens, FL 33410-3658
Phone (561) 514-7390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180810001993 MN Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 3274839584 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS19772FLMDPediatric Cardiology Physician
036.137152ILMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care CurrentSince Jul 19, 2018 Accepting new patients
Mayo Clinic CurrentSince Dec 1, 2020 Accepting new patients
Gillette Children's Specialty Healthcare CurrentSince Nov 26, 2018 Accepting new patients
Mayo Clinic CurrentSince Dec 1, 2020 Accepting new patients
Childrens Health Care CurrentSince Jul 19, 2018 Accepting new patients
Mayo Clinic Current Accepting new patients
Childrens Health Care Current Accepting new patients
Gillette Children's Specialty Healthcare CurrentSince Nov 26, 2018 Accepting new patients
Nicklaus Children's Pediatric Specialists, LLC Past Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

2530 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

Interoperability endpoints

  • Direct secure messaging: jlowisz20327@jupitermedicalcenter.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1285992354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 LEGACY AVE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103658",
            "telephone_number": "561-514-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11310 LEGACY AVE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103658",
            "telephone_number": "561-514-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWISZ",
        "first_name": "JOANNA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "036.137152",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MN",
            "license": "64300",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "OS19772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.