Individual provider Active NPI

Allan C Loesch, C-PA

  • Physician Assistant
  • Vero Beach, FL
National Provider Identifier
1669744926
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106415 Issued in FL
Practice address
1155 35TH LN
Suite 100
Vero Beach, FL 32960-6521
Phone
(772) 569-2330
Fax
(772) 569-2630
NPI assigned
Feb 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106415 FL Primary
Surgical Physician Assistant 363AS0400X PA9106415 FL

Addresses

Primary practice location

1155 35TH LN
Suite 100
Vero Beach, FL 32960-6521

Mailing address

1155 35TH LN
Suite 100
Vero Beach, FL 32960-6521
Phone (772) 569-2330

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000710 FL Practitioner - Physician Assistant 9830357367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.65 of 100Reported as group
Quality
66.27
Promoting interoperability
100
Improvement activities
40
Cost
72.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9106415FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services II, LLC CurrentSince Apr 10, 2017 Accepting new patients
Tenet Florida Physician Services II, LLC Physician Assistant CurrentSince Apr 10, 2017 Accepting new patients
Vero Orthopaedics II PA PastSince Aug 28, 2021 Accepting new patients

Locations

600 Heritage Dr
Ste 105
Jupiter, FL 33458
Phone (561) 935-9233

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: allan.loesch.1@13023.direct.athenahealth.com

Organizations & group practices 3

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": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1669744926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 35TH LN",
            "address_2": "SUITE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606521",
            "telephone_number": "772-569-2330",
            "fax_number": "772-569-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 35TH LN",
            "address_2": "SUITE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606521",
            "telephone_number": "772-569-2330",
            "fax_number": "772-569-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOESCH",
        "first_name": "ALLAN",
        "middle_name": "C",
        "credential": "C-PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106415",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.