Individual provider Active NPI

David J Lozano, MD

  • Pediatric Pulmonology Physician
  • Dothan, AL
National Provider Identifier
1518915305
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
MD.24011 Issued in AL
Practice address
5565 Montgomery Hwy
Dothan, AL 36303-1552
Phone
(334) 793-1881
Fax
(334) 340-5918
NPI assigned
May 4, 2006
Last updated
May 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.24011 AL
Pediatric Pulmonology Physician 2080P0214X MD.24011 AL Primary

Addresses

Primary practice location

5565 Montgomery Hwy
Dothan, AL 36303-1552

Mailing address

126 Clinic Dr
Dothan, AL 36303-1980
Phone (334) 793-1881

Other identifiers 5

IdentifierTypeStateIssuer
515-48612OtherALBCBS
009961870MedicaidAL
515-33484OtherALBCBS
7690295OtherALAETNA
1518915305OtherALTRICARE SOUTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040604000477 AL Practitioner - Pulmonary DiseasePractitioner - Pediatric MedicinePractitioner - Emergency MedicinePractitioner - Sleep Medicine 2769464551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Pediatric Medicine, Sleep Medicine
Education
University of Texas Medical Branch at Galveston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dothan Pediatric Clinic, P. a.Group PAC ID 0749245330, 9 clinicians

Practice addresses (Care Compare)

540 Westgate Pkwy
Dothan, AL 36303-3073
Phone (334) 699-3733

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.24011ALMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Mar 12, 2012 Accepting new patients
University of Alabama Health Services Foundation, PC Pediatrics CurrentSince Mar 12, 2012 Accepting new patients
Dothan Pediatric Clinic, P. a. Pediatrics CurrentSince Jan 1, 2018 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
The Children's Hospital of Alabama Pediatrics Past Accepting new patients

Locations

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

1600 7th Ave S
#6
Birmingham, AL 35233
Phone (205) 939-9583

703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9583

126 Clinic Dr
Dothan, AL 36303
Phone (334) 791-1881

540 Westgate Pkwy
Dothan, AL 36303
Phone (334) 596-0953

5565 Montgomery Hwy
Dothan, AL 36303
Phone (334) 699-3733

Interoperability endpoints

  • Direct secure messaging: davidlozano@dpc.allscriptsdirect.net
  • Direct secure messaging: dlozano14392@southeasthealth.direct-ci.com

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, 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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1518915305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 CLINIC DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031980",
            "telephone_number": "334-793-1881",
            "fax_number": "334-340-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 MONTGOMERY HWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031552",
            "telephone_number": "334-793-1881",
            "fax_number": "334-340-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.24011",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "AL",
            "license": "MD.24011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-48612",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009961870",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-33484",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7690295",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1518915305",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.