Active NPI
Francesco Lupis, MD
- Family Medicine Physician
- Newington, CT
National Provider Identifier
1174657167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 050637
- Practice address
- 196 Kitts LN
Newington, CT 06111-4250 - Phone
- (844) 307-4827
- Fax
- (305) 402-0855
- NPI assigned
- Mar 14, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35090341 | OH | |
| Family Medicine Physician | 207Q00000X | 050637 | CT | Primary |
| Emergency Medicine Physician | 207P00000X | 50637 | CT |
Addresses
Primary practice location
196 Kitts LN
Newington, CT 06111-4250
Mailing address
8400 NW 33Rd St
Suite 201
Doral, FL 33122-1937
Phone (786) 408-8502
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2843383 | Medicaid | OH | |
| 344441792 | Other | TAX IDENTIFICATION NUMBER UNDER MAGRUDER HOSPITAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50637 | CT | MD | Emergency Medicine Physician |
| 050637 | CT | MD | Family Medicine Physician |
| 35090341 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Community Memorial Hospital | Past | Accepting new patients |
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.
-
- Critical Access Hospital
- Hicksville, OH
- NPI 1730145392
-
- Emergency Medicine Physician
- Monroe, MI
- NPI 1639103393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1174657167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 NW 33RD ST",
"address_2": "SUITE 201",
"city": "DORAL",
"state": "FL",
"postal_code": "331221937",
"telephone_number": "786-408-8502",
"fax_number": "305-402-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 KITTS LN",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061114250",
"telephone_number": "844-307-4827",
"fax_number": "305-402-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPIS",
"first_name": "FRANCESCO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35090341",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "050637",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "50637",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2843383",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER UNDER MAGRUDER HOSPITAL",
"identifier": "344441792",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.