Individual provider Active NPI

Lokie N Indar, MD

  • Internal Medicine Physician
  • Zephyrhills, FL
National Provider Identifier
1518977289
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0070110 Issued in FL
Practice address
37900 Daughtery Road
Bay Area Medical Clinic P.a.
Zephyrhills, FL 33541
Phone
(813) 715-4446
Fax
(813) 780-7786
NPI assigned
Aug 8, 2006
Last updated
Oct 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0070110 FL Primary

Addresses

Primary practice location

37900 Daughtery Road
Bay Area Medical Clinic P.a.
Zephyrhills, FL 33541

Mailing address

37900 Daughtery Road
Bay Area Medical Clinic P.a.
Zephyrhills, FL 33541
Phone (813) 715-4446

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
I20090922000350 FL Practitioner - Internal Medicine 8022164714 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0070110FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Mar 11, 2022 Accepting new patients

Locations

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

37900 Daughtery Rd
Zephyrhills, FL 33541
Phone (813) 600-9981

37922 Daughtery Rd
Zephyrhills, FL 33541
Phone (813) 780-7756

Organizations & group practices 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1518977289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37900 DAUGHTERY ROAD",
            "address_2": "BAY AREA MEDICAL CLINIC P.A.",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33541",
            "telephone_number": "813-715-4446",
            "fax_number": "813-780-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37900 DAUGHTERY ROAD",
            "address_2": "BAY AREA MEDICAL CLINIC P.A.",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33541",
            "telephone_number": "813-715-4446",
            "fax_number": "813-780-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDAR",
        "first_name": "LOKIE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0070110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.