NPIMap

Individual provider Active NPI

Lucas Jurgen Beerepoot, MD

  • Neurology Physician
  • Gainesville, FL
National Provider Identifier
1093906455
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME111124 Issued in FL
Practice address
6800 NW 9TH Blvd Ste 2
Gainesville, FL 32605-4253
Phone
(352) 478-4700
Fax
(352) 225-3399
NPI assigned
Aug 9, 2007
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME111124 FL Primary

Addresses

Primary practice location

6800 NW 9TH Blvd Ste 2
Gainesville, FL 32605-4253

Mailing address

PO Box 141448
Gainesville, FL 32614-1448
Phone (352) 478-4700

Other practice location 1

1717 SW Newland Way
Lake City, FL 32025-6966
Phone (352) 478-4700

Other identifiers 1

IdentifierTypeStateIssuer
004459500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000776 FL Practitioner - Neurology 9638262876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Quality Neurology LLCGroup PAC ID 4981958295, 3 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

6800 NW 9TH Blvd
Suite 2
Gainesville, FL 32605-4253
Phone (352) 478-4700

PO Box
Melrose, FL 32666-1099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD431716PAMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Neurology LLC Neurology CurrentSince Sep 4, 2018 Accepting new patients
Health Access Network Past Accepting new patients

Locations

6800 NW 9th Blvd
Ste 2
Gainesville, FL 32605
Phone (352) 332-7990

1717 SW Newland Way
Lake City, FL 32025
Phone (352) 478-4700

2970 W US Highway 90
Ste 110
Lake City, FL 32055
Phone (352) 690-2171

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1093906455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141448",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326141448",
            "telephone_number": "352-478-4700",
            "fax_number": "352-225-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 NW 9TH BLVD STE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054253",
            "telephone_number": "352-478-4700",
            "fax_number": "352-225-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 SW Newland Way",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320256966",
            "country_code": "US",
            "telephone_number": "352-478-4700",
            "fax_number": "352-225-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEEREPOOT",
        "first_name": "LUCAS",
        "middle_name": "JURGEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME111124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004459500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.