Individual provider Active NPI

Manuel Leonardo Lozano, MD

  • Surgery Physician
  • Greenfield, IN
National Provider Identifier
1922031913
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01075312A Issued in IN
Practice address
801 N State St Ste 100
Greenfield, IN 46140-1270
Phone
(317) 462-3255
Fax
(317) 462-7648
NPI assigned
Jul 10, 2006
Last updated
Jul 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00046719 WA
Surgery Physician 208600000X 01075312A IN Primary

Addresses

Primary practice location

801 N State St Ste 100
Greenfield, IN 46140-1270

Mailing address

156 W. Muskegon Drive
Greenfield, IN 46140-3069
Phone (317) 468-6270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150728004083 IN Practitioner - General Surgery 3577560523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Physician Network LLCGroup PAC ID 8325952633, 139 clinicians

Practice addresses (Care Compare)

801 N State St
Suite 100
Greenfield, IN 46140-1270
Phone (317) 462-3255

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux25
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00046719WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Regional Hospital Current Accepting new patients
Hancock Physician Network, LLC Surgery CurrentSince Jan 1, 2024 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
Yakima Surgical Associates, PLLC Past Accepting new patients

Locations

1 Memorial Sq
Ste 100
Greenfield, IN 46140
Phone (317) 462-3255

156 W Muskegon Dr
Greenfield, IN 46140
Phone (317) 468-6257

801 N State St
Ste 100
Greenfield, IN 46140
Phone (317) 462-3255

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

801 N State St
Ste 205
Greenfield, IN 46140
Phone (317) 325-2699

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2817/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1922031913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W. MUSKEGON DRIVE",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403069",
            "telephone_number": "317-468-6270",
            "fax_number": "317-468-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N STATE ST STE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401270",
            "telephone_number": "317-462-3255",
            "fax_number": "317-462-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "MANUEL",
        "middle_name": "LEONARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00046719",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01075312A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.