Individual provider Active NPI

Anton Erikovich Lotman, M.D.

  • Neurology Physician
  • Vero Beach, FL
National Provider Identifier
1730173691
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME167400 Issued in FL
Practice address
1155 35TH LN Ste 100B
Vero Beach, FL 32960-6521
Phone
(772) 770-6848
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 26134 OR
Neurology Physician 2084N0400X ME167400 FL Primary

Addresses

Primary practice location

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

Mailing address

5915 Summersweet LN
Vero Beach, FL 32967-6073
Phone (541) 297-1665

Other identifiers 7

IdentifierTypeStateIssuer
ME167400OtherFLFLORIDA MEDICAL LICENSE
026822MedicaidOR
930635514OtherORTAX ID
930802343OtherORTAX ID#
1407812365OtherORMEDICARE GROUP NPI
121920100MedicaidFL
R0000WFBTVOtherORMEDICARE GROUP PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051117000500 OR Practitioner - Neurology 9032138193 Reassigns benefits to 2 organizations
I20240424004109 FL Practitioner - Neurology 9032138193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

1000 36TH St
Suite 2234
Vero Beach, FL 32960-4862
Phone (772) 567-4311

Hospital & facility affiliations

  • Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26134ORMDNeurology Physician
1827NYMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince May 20, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince May 20, 2024 Accepting new patients
North Bend Medical Center Inc CurrentSince Sep 22, 2008 Accepting new patients
Bay Area Hospital District CurrentSince Oct 17, 2005 Accepting new patients
Bay Area Hospital District CurrentSince Oct 17, 2005 Accepting new patients
Indian River Health Services Inc Past Accepting new patients
Oregon Coast Neurology Clinic Neurology Past Accepting new patients
Neurological Assoc of Neny PC Neurology Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

1000 36th St
Ste 2234
Vero Beach, FL 32960
Phone (954) 689-5173

1155 35th Ln
Ste 100B
Vero Beach, FL 32960
Phone (772) 563-4741

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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 3

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1730173691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 SUMMERSWEET LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329676073",
            "telephone_number": "541-297-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 35TH LN STE 100B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606521",
            "telephone_number": "772-770-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTMAN",
        "first_name": "ANTON",
        "middle_name": "ERIKOVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "26134",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME167400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME167400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026822",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "930635514",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "930802343",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI",
            "identifier": "1407812365",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121920100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "R0000WFBTV",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.