Carlos Javier Lugo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN452 Issued in FL

Practice address

1960 E Osceola Pkwy
Kissimmee, FL 34743-8626

Phone

(407) 978-6400

Fax

(407) 530-4326

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

General Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• FL HMO
• FL PPO
• Optimum HealthCare HMO Network

Interoperability endpoints

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

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.

• Vida Medical Clinic LLC

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1356967475
  Medicare reassignment NPD
• Spine Clinic Physician LLC

  dba Spine Clinic

  • Chiropractor
  • Orlando, FL
  • NPI 1760204176
  NPD
• Central Florida Primary Physicians

  • Family Medicine Physician
  • Deltona, FL
  • NPI 1962714790
  NPD (past)
• Centralfloridaprimaryphysicians

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1497067227
  NPD (past)
• Medical Home Alliance LLC

  dba IMA Winter Haven Dispensary

  • Non-Pharmacy Dispensing Site
  • Winter Haven, FL
  • NPI 1033648233
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1013951797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 FUTURES DR STE 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199096",
            "telephone_number": "407-978-6400",
            "fax_number": "407-530-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 E OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438626",
            "telephone_number": "407-978-6400",
            "fax_number": "407-530-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "CARLOS",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-05-02",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14272",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006614400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICINE DOCTOR LIC",
            "identifier": "ACN452",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Anthony Lucio, M.D.
• Sonja Marie Luebbers, PTA
• Luisa Josefina Lugo Gomez
• Katiria Lugo Soto
• Gabriela Nicole Lugo Viera
• Dacia A Lugo
• Elsie Lugo, R PH
• Erika Denise Lugo, RRT
• Iris Lugo
• Katherine Lugo

• General Practice Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.