Individual provider Active NPI

Raul A Lozano, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1871515221
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02356 Issued in TX
Practice address
9495 Marsh LN Ste 100
Dallas, TX 75220-4946
Phone
(214) 351-0010
Fax
(214) 351-0375
NPI assigned
Jul 24, 2006
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02356 TX Primary

Addresses

Primary practice location

9495 Marsh LN Ste 100
Dallas, TX 75220-4946

Mailing address

9495 Marsh LN Ste 100
Dallas, TX 75220-4946
Phone (214) 351-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100427000378 TX Practitioner - Physician Assistant 5698802437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coral Medical Services, PLLCGroup PAC ID 7618146010, 3 clinicians

Practice addresses (Care Compare)

9495 Marsh LN
Suite 100
Dallas, TX 75220-4946
Phone (214) 351-0010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA02356TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emcare-Dtxemergency Physicians PLLC Physician Assistant Past Accepting new patients
Finneas Health Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1871515221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 MARSH LN STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204946",
            "telephone_number": "214-351-0010",
            "fax_number": "214-351-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 MARSH LN STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204946",
            "telephone_number": "214-351-0010",
            "fax_number": "214-351-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "RAUL",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.