Individual provider Active NPI

Thomas Lupoli, D.O

  • Allergy & Immunology Physician
  • Orange Park, FL
National Provider Identifier
1174717276
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
OS10260 Issued in FL
Practice address
1825 Kingsley Ave Ste 320
Orange Park, FL 32073-4477
Phone
(904) 730-4870
Fax
(904) 730-4873
NPI assigned
Aug 31, 2007
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X OS10260 FL Primary
Allergy Physician 207KA0200X OS10260 FL

Addresses

Primary practice location

1825 Kingsley Ave Ste 320
Orange Park, FL 32073-4477

Mailing address

PO Box 54008
Jacksonville, FL 32245-4008
Phone (904) 730-4870

Other practice location 1

2804 Saint Johns Bluff Rd S Ste 202
Jacksonville, FL 32246-3778
Phone (904) 730-4870

Other practice location 2

2255 Dunn Ave Ste 205
Jacksonville, FL 32218-4739
Phone (904) 730-4870

Other practice location 3

12276 San Jose Blvd Ste 733
Jacksonville, FL 32223-8675
Phone (904) 730-4870

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000208 FL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9335275437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Specialists of North Florida PAGroup PAC ID 8527163468, 2 clinicians

Practice addresses (Care Compare)

1825 Kingsley Ave
Suite 320
Orange Park, FL 32073-4477
Phone (904) 730-4870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Specialists of North Florida PA Allergy & Immunology CurrentSince Apr 1, 2010 Accepting new patients

Locations

12276 San Jose Blvd
Ste 733
Jacksonville, FL 32223
Phone (904) 730-4870

2255 Dunn Ave
Ste 205
Jacksonville, FL 32218
Phone (904) 730-4870

2804 Saint Johns Bluff Rd S
Ste 202
Jacksonville, FL 32246
Phone (904) 730-4870

3636 University Blvd S
Ste A3
Jacksonville, FL 32216
Phone (904) 730-4870

1825 Kingsley Ave
Ste 320
Orange Park, FL 32073
Phone (904) 730-4870

Interoperability endpoints

  • Direct secure messaging: tomlupoli@aasnfpa.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1174717276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54008",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322454008",
            "telephone_number": "904-730-4870",
            "fax_number": "904-730-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 KINGSLEY AVE STE 320",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734477",
            "telephone_number": "904-730-4870",
            "fax_number": "904-730-4873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2804 Saint Johns Bluff Rd S Ste 202",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322463778",
            "country_code": "US",
            "telephone_number": "904-730-4870",
            "fax_number": "904-730-4873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2255 Dunn Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184739",
            "country_code": "US",
            "telephone_number": "904-730-4870",
            "fax_number": "904-730-4873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12276 San Jose Blvd Ste 733",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322238675",
            "country_code": "US",
            "telephone_number": "904-730-4870",
            "fax_number": "904-730-4873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUPOLI",
        "first_name": "THOMAS",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "OS10260",
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "OS10260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.