Individual provider Active NPI

Derrick Lugano

  • Acute Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1033704168
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
201450 Issued in OK
Practice address
10505 E 91St St Ste 205
Tulsa, OK 74133-5829
Phone
(918) 307-5490
NPI assigned
Mar 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 201450 OK Primary

Addresses

Primary practice location

10505 E 91St St Ste 205
Tulsa, OK 74133-5829

Mailing address

10505 E 91St St Ste 205
Tulsa, OK 74133-5829
Phone (918) 307-5490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20210419001262 OK Practitioner - Nurse Practitioner 1355759051 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aandr Management Services IncGroup PAC ID 7618248105, 13 clinicians

Practice addresses (Care Compare)

10505 E 91St St
Suite 205
Tulsa, OK 74133-5829
Phone (918) 307-5490

Hospital & facility affiliations

  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114

Merit-based Incentive Payment System (MIPS)

Final score
73.31 of 100Reported as group
Improvement activities
20
Cost
82.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jul 7, 2025 Accepting new patients
Tulsa Hospital Medicine Physicians Group, LLC CurrentSince Feb 1, 2022 Accepting new patients
Prime Medical Group Corp CurrentSince May 31, 2022 Accepting new patients
A&R Management Services, Inc. CurrentSince May 1, 2021 Accepting new patients

Locations

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

10020 E 91st St
Tulsa, OK 74133
Phone (918) 515-0297

10505 E 91st St
Ste 205
Tulsa, OK 74133
Phone (708) 724-8599

3219 S 79th East Ave
Tulsa, OK 74145
Phone (833) 524-2400

744 W 9th St
Fl 5
Tulsa, OK 74127
Phone (918) 932-3700

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1033704168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 E 91ST ST STE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335829",
            "telephone_number": "918-307-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 E 91ST ST STE 205",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335829",
            "telephone_number": "918-307-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGANO",
        "first_name": "DERRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "201450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.