Individual provider Active NPI

Francesco Lupis, MD

  • Family Medicine Physician
  • Newington, CT
National Provider Identifier
1174657167
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
050637 Issued in CT
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

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2843383MedicaidOH
344441792OtherTAX 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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50637CTMDEmergency Medicine Physician
050637CTMDFamily Medicine Physician
35090341OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.