Active NPI
Jordan Lupo Heath, M.D.
- Allergy Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- ME149410
- Practice address
- 4343 Newberry Rd Ste 1
Gainesville, FL 32607-2822 - Phone
- (352) 331-3502
- Fax
- (352) 331-3488
- NPI assigned
- Apr 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | ME149410 | FL | Primary |
Addresses
Primary practice location
4343 Newberry Rd Ste 1
Gainesville, FL 32607-2822
Mailing address
4881 NW 8TH Ave.
Suite 2
Gainesville, FL 32605-4582
Phone (352) 416-1082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111133800 | Medicaid | FL |
Other names 1
- Jordan Elizabeth Lupo
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Arkansas College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4343 W Newberry Rd
Gainesville, FL 32607-2817
Phone (352) 416-1082
Merit-based Incentive Payment System (MIPS)
- Final score
- 83 of 100
- Quality
- 65.57
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME149410 | FL | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simedhealth LLC | Allergy | Current | Accepting new patients |
| Simed Health LLC | Current | Accepting new patients |
Locations
1315 NW 21st Ave
Ste 4
Chiefland, FL 32626
Phone (352) 331-1000
4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200
4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338
4343 Newberry Rd
Ste 1
Gainesville, FL 32607
Phone (352) 331-3502
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Gainesville, FL
- NPI 1376616698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1114360930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 NW 8TH AVE.",
"address_2": "SUITE 2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054582",
"telephone_number": "352-416-1082",
"fax_number": "352-373-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 NEWBERRY RD STE 1",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072822",
"telephone_number": "352-331-3502",
"fax_number": "352-331-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "JORDAN",
"middle_name": "LUPO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-10",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "FL",
"license": "ME149410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111133800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JORDAN",
"last_name": "LUPO",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.