Individual provider Active NPI

Felicita Desiree Lugo, MD, ME, PATH/TOX

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1164057261
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME139133 Issued in FL
Practice address
3436 Bee Ridge Rd
Sarasota, FL 34239-7260
Phone
(941) 921-2225
Fax
(941) 927-8234
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8996 FL
Internal Medicine Physician 207R00000X ME139133 FL Primary

Addresses

Primary practice location

3436 Bee Ridge Rd
Sarasota, FL 34239-7260

Mailing address

PO Box 50997
Sarasota, FL 34232-0308
Phone (941) 921-2225

Other identifiers 1

IdentifierTypeStateIssuer
009692200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Master of Engineering

State licenses

LicenseStateTypeSpecialty
CH8996FLMDChiropractor
ME139133FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All-in-One Medical Clinic Chiropractor CurrentSince Mar 16, 2020 Accepting new patients

Locations

3436 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 921-2225

Organizations & group practices 1

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1164057261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50997",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342320308",
            "telephone_number": "941-921-2225",
            "fax_number": "941-927-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397260",
            "telephone_number": "941-921-2225",
            "fax_number": "941-927-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "FELICITA",
        "middle_name": "DESIREE",
        "name_prefix": "Dr.",
        "credential": "MD, ME, PATH/TOX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8996",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME139133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009692200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.