Individual provider Active NPI

Dewayne Lockhart Jr., M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Naples, FL
National Provider Identifier
1902057235
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME116800 Issued in FL
Practice address
3555 Kraft Rd Suite 120
Naples, FL 34105
Phone
(239) 424-9846
Fax
(239) 424-9932
NPI assigned
Oct 6, 2008
Last updated
May 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME116800 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME116800 FL Primary

Addresses

Primary practice location

3555 Kraft Rd Suite 120
Naples, FL 34105

Mailing address

3555 Kraft Rd Suite 120
Naples, FL 34105
Phone (239) 424-9846

Other identifiers 1

IdentifierTypeStateIssuer
ME116800OtherFLLICENSE NUMBER

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
I20130918000453 FL Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Physical Medicine and Rehabilitation 8123262961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Physical Medicine and Rehabilitation
Education
University of Alabama School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

10070 Daniels Interstate CT
Suite 150
Fort Myers, FL 33913-7883
Phone 23942498462

4316 Lee Blvd
Unit 12B
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

5395 Park Central CT
Naples, FL 34109-5932
Phone (239) 424-9846

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116800FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Medicine Pain Specialists, LLC Multi-Specialty CurrentSince Apr 8, 2019 Accepting new patients

Locations

10070 Daniels Interstate Ct
Ste 150
Fort Myers, FL 33913
Phone (239) 424-9846

3400 Lee Blvd
Ste 106
Lehigh Acres, FL 33971
Phone (239) 368-2211

3555 Kraft Rd
Unit 120
Naples, FL 34105
Phone (239) 424-9846

5395 Park Central Ct
Naples, FL 34109
Phone (239) 424-9846

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBHHBD/Endpoint/CBHHBD

Organizations & group practices 1

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": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1902057235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 KRAFT RD SUITE 120",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34105",
            "telephone_number": "239-424-9846",
            "fax_number": "239-424-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 KRAFT RD SUITE 120",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34105",
            "telephone_number": "239-424-9846",
            "fax_number": "239-424-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "DEWAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-06",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME116800",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME116800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ME116800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.