Active NPI
John Dallarosa, M.D.
- Pulmonary Disease Physician
- Jacksonville Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME170680
- Practice address
- 1350 13TH Ave S
Jacksonville Beach, FL 32250-3203 - Phone
- (904) 627-2900
- NPI assigned
- Apr 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 57.251838 | OH | |
| Hospitalist Physician | 208M00000X | ME170680 | FL | |
| Internal Medicine Physician | 207R00000X | 57.251838 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | ME170680 | FL | Primary |
Addresses
Primary practice location
1350 13TH Ave S
Jacksonville Beach, FL 32250-3203
Mailing address
1539 Mayfair Rd
Jacksonville, FL 32207-2021
Phone (386) 334-2944
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of South Florida College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 13TH Ave S
Jacksonville, FL 32250-3203
Phone (512) 730-3056
1370 13TH Ave S
Suite 218
Jacksonville, FL 32250-3206
Phone (904) 853-6154
Hospital & facility affiliations
- Baptist Medical Center Beaches
- Baptist Health Medical Center - Jacksonville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME170680 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Jacksonville Lung Clinic LLC | Pulmonary Disease | Current | Accepting new patients |
| Northeast Florida Lung Clinic | Pulmonary Disease | Current | Accepting new patients |
Locations
1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900
1370 13th Ave S
Ste 218
Jax Bch, FL 32250
Phone (904) 402-3932
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- jdallarosa207266@direct.metrohealth.org
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Jacksonville Beach, FL
- NPI 1861991937
Pulmonary Disease
-
- Pulmonary Disease Physician
- Jacksonville Beach, FL
- NPI 1275024317
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1669907945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1539 MAYFAIR RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322072021",
"telephone_number": "386-334-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 13TH AVE S",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503203",
"telephone_number": "904-627-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLAROSA",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-25",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "57.251838",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME170680",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.251838",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME170680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.