Active NPI
Jeffrey C Lupica, DPM
- Podiatrist
- Mentor, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36003664
- Practice address
- 9500 Mentor Ave
Suite 210
Mentor, OH 44060-8713 - Phone
- (440) 352-1711
- NPI assigned
- Apr 21, 2010
- Last updated
- Jun 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36003664 | OH | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36003664 | OH | |
| Foot Surgery Podiatrist | 213ES0131X | 36003664 | OH |
Addresses
Primary practice location
9500 Mentor Ave
Suite 210
Mentor, OH 44060-8713
Mailing address
9500 Mentor Ave
Suite 210
Mentor, OH 44060-8713
Phone (440) 352-1711
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jeffrey.lupica@loa.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36060 Euclid Ave
Suite 104
Willoughby, OH 44094-4661
Phone (440) 942-1050
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 51 |
| Removal of nail tissue | 61 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36003664 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Orthopaedic Associates, Inc. | Current | Accepting new patients | |
| Lake Orthopaedic Associates, Inc. | Current | Accepting new patients | |
| Lake Orthopaedic Associates, Inc. | Current | Accepting new patients |
Locations
9500 Mentor Ave
Ste 210
Mentor, OH 44060
Phone (440) 352-0934
36060 Euclid Ave
Ste 104
Willoughby, OH 44094
Phone (440) 942-1050
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBFBCA
- jeffrey.lupica@loa.eclinicaldirectplus.com
- jlupica219284@ehrdirect.uhhospitals.org
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.
-
- Orthopaedic Surgery Physician
- Chardon, OH
- NPI 1942470174
-
- Orthopaedic Surgery Physician
- Concord TWP, OH
- NPI 1326366352
-
- Orthopaedic Surgery Physician
- Willoughby, OH
- NPI 1679592885
Hospital & facility affiliations 1
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": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1164749859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 MENTOR AVE",
"address_2": "SUITE 210",
"city": "MENTOR",
"state": "OH",
"postal_code": "440608713",
"telephone_number": "440-352-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 MENTOR AVE",
"address_2": "SUITE 210",
"city": "MENTOR",
"state": "OH",
"postal_code": "440608713",
"telephone_number": "440-352-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPICA",
"first_name": "JEFFREY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-21",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36003664",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36003664",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "OH",
"license": "36003664",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jeffrey.lupica@loa.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "9500 Mentor Ave",
"address_2": "Suite 210",
"city": "Mentor",
"state": "OH",
"country_code": "US",
"postal_code": "440608713",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mentor, OH
- Amy M Lumadue, PC
- Lumina Imaging
- Luminaud Inc
- Brittani Joy Lumpkin, MEDICAL ASSISTANT
- Lupi Anesthesia LLC
- Colton Alexander Luther
- Stephanie Lutz, QMHS
- Luxottica of America Inc (LensCrafters #2268)
- Luxottica of America Inc. (Lenscrafters #623)
- Luxottica Retail North America Inc (Pearle Vision #C6434)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.