Individual provider Active NPI

John Dallarosa, M.D.

  • Pulmonary Disease Physician
  • Jacksonville Beach, FL
National Provider Identifier
1669907945
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME170680 Issued in FL
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

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127000914 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 6507268182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of South Florida College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Lung Clinic LLCGroup PAC ID 4486900412, 12 clinicians
Northeast Florida Lung ClinicGroup PAC ID 5395097109, 3 clinicians

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 Hospital, Jacksonville Beach, FL, CCN 100117
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME170680FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Jacksonville Lung Clinic LLC Pulmonary Disease CurrentSince Nov 12, 2024 Accepting new patients
Northeast Florida Lung Clinic Pulmonary Disease CurrentSince Nov 20, 2024 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

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.