Individual provider Active NPI

Leif A Lohrbauer, M.D.

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1427021591
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME12983 Issued in FL
Practice address
4205 Belfort Rd
Suite 2069
Jacksonville, FL 32216-1471
Phone
(904) 296-0278
Fax
(904) 296-0279
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME12983 FL Primary

Addresses

Primary practice location

4205 Belfort Rd
Suite 2069
Jacksonville, FL 32216-1471

Mailing address

4205 Belfort Rd
Suite 2069
Jacksonville, FL 32216-1471
Phone (904) 296-0278

Other identifiers 2

IdentifierTypeStateIssuer
74682OtherFLJCC GROUP ID#
052381000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040713001197 FL Practitioner - Cardiovascular Disease (Cardiology) 9638157191 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12983FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Interpreters Inc CurrentSince May 12, 2014 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Sep 1, 2013 Accepting new patients
St Vincents Ambulatory Care Inc Cardiovascular Disease CurrentSince Sep 1, 2013 Accepting new patients
Amy Townsend MD PA Past Accepting new patients
Memorial Ekg Associates Past Accepting new patients

Locations

4205 Belfort Rd
Ste 2069
Jacksonville, FL 32216
Phone (904) 296-0278

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427021591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD",
            "address_2": "SUITE 2069",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161471",
            "telephone_number": "904-296-0278",
            "fax_number": "904-296-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD",
            "address_2": "SUITE 2069",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161471",
            "telephone_number": "904-296-0278",
            "fax_number": "904-296-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHRBAUER",
        "first_name": "LEIF",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME12983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCC GROUP ID#",
            "identifier": "74682",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052381000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.