Individual provider Active NPI

Robert Carl Lupo, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1053516245
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5346 Issued in FL
Practice address
14522 University Point PL
Tampa, FL 33613-5425
Phone
(813) 978-0020
Fax
(813) 972-9024
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5346 FL Primary

Addresses

Primary practice location

14522 University Point PL
Tampa, FL 33613-5425

Mailing address

15804 Dawson Ridge Dr
Tampa, FL 33647-1320
Phone (813) 978-0591

Other identifiers 3

IdentifierTypeStateIssuer
CH5346OtherFLLICENSE #
22031OtherFLBCBS
1902810963OtherFLNPI GROUP #

Other names 1

  • Dr. Robert Carl Lupo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000011 FL Practitioner - Chiropractic 4587827357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Medicine CenterGroup PAC ID 9335046184, 2 clinicians

Practice addresses (Care Compare)

14522 University Point PL
Tampa, FL 33613-5425
Phone (813) 978-0020

14522 University Point Place
Tampa, FL 33613-5425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Center CurrentSince Mar 13, 2002 Accepting new patients
Jessica J Wilson Chan D O PA PastSince Nov 3, 2019 Accepting new patients
Dr. Jeffrey T. Farrell, P.a. Chiropractor Past Accepting new patients

Locations

14522 University Point Pl
Tampa, FL 33613
Phone (813) 978-0020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1053516245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15804 DAWSON RIDGE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471320",
            "telephone_number": "813-978-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14522 UNIVERSITY POINT PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336135425",
            "telephone_number": "813-978-0020",
            "fax_number": "813-972-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPO",
        "first_name": "ROBERT",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "CH5346",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22031",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP #",
            "identifier": "1902810963",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "LUPO",
            "middle_name": "CARL",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.