Individual provider Active NPI

Jonathan Leonid Lozevski, M.D.

  • Vascular & Interventional Radiology Physician
  • Goldsboro, NC
National Provider Identifier
1548386337
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
2006-00451 Issued in NC
Practice address
2700 Medical Office PL
Goldsboro, NC 27534-9402
Phone
(919) 734-1866
Fax
(919) 736-5304
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2006-00451 NC
Vascular & Interventional Radiology Physician 2085R0204X 2006-00451 NC Primary

Addresses

Primary practice location

2700 Medical Office PL
Goldsboro, NC 27534-9402

Mailing address

2700 Medical Office PL
Goldsboro, NC 27534-9402
Phone (919) 734-1866

Other practice location 1

1705 S. Tarboro Street
Wilson Medical Center
Wilson, NC 27893-3428
Phone (252) 399-8928

Other identifiers 3

IdentifierTypeStateIssuer
5913370MedicaidNC
D00825650OtherNCMEDICARE RAILROAD
1540COtherNCBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jonathan.lozevski@direct.wayneradiologists.nchie.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20091112000517 NC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3678611514 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Arizona College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne Radiologists PAGroup PAC ID 2769496066, 26 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

2700 Medical Office PL
Goldsboro, NC 27534-9460
Phone (919) 734-1866

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-00451NCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Oct 24, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Oct 24, 2024 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Wake Forest Baptist Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Eastern Nephrology Associates PLLC CurrentSince Apr 1, 2020 Accepting new patients
Wayne Radiologists, P.a. CurrentSince Mar 30, 2020 Accepting new patients

Locations

2700 Medical Office Pl
Goldsboro, NC 27534
Phone (919) 736-5300

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

861 Old Winston Rd
Ste 105
Kernersville, NC 27284
Phone (336) 765-5722

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

265 Executive Park Blvd
Winston Salem, NC 27103
Phone (336) 765-5722

Interoperability endpoints

  • Direct secure messaging: jlozevski2903897@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jonathan.lozevski@direct.wayneradiologists.nchie.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unc Health WayneGoldsboro, NC, CCN 340010 Hospital Corporate Director Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 2

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1548386337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349402",
            "telephone_number": "919-734-1866",
            "fax_number": "919-736-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349402",
            "telephone_number": "919-734-1866",
            "fax_number": "919-736-5304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 S. Tarboro Street",
            "address_2": "Wilson Medical Center",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278933428",
            "country_code": "US",
            "telephone_number": "252-399-8928",
            "fax_number": "252-399-7477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOZEVSKI",
        "first_name": "JONATHAN",
        "middle_name": "LEONID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2006-00451",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "2006-00451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913370",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "D00825650",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1540C",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.lozevski@direct.wayneradiologists.nchie.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2700 Medical Office Pl",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.