Active NPI
Dan Lotan, MD
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1801882923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L5442
- Practice address
- 2000 Crawford
Suite 1350
Houston, TX 77002-9008 - Phone
- (713) 650-0344
- Fax
- (713) 522-8271
- NPI assigned
- Sep 23, 2005
- Last updated
- Feb 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L5442 | TX | Primary |
Addresses
Primary practice location
2000 Crawford
Suite 1350
Houston, TX 77002-9008
Mailing address
40 Cypress Creek Pkwy
Ste 137
Houston, TX 77090-3530
Phone (832) 476-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1604589-02 | Medicaid | TX | |
| 160458901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5442 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercede Health of California | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AAAGDD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1801882923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 CYPRESS CREEK PKWY",
"address_2": "STE 137",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770903530",
"telephone_number": "832-476-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CRAWFORD",
"address_2": "SUITE 1350",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770029008",
"telephone_number": "713-650-0344",
"fax_number": "713-522-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTAN",
"first_name": "DAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L5442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1604589-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160458901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.