Individual provider Active NPI

Luga Podesta, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Naples, FL
National Provider Identifier
1184680084
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
ME131442 Issued in FL
Practice address
1875 Veterans Park Dr Ste 2201
Naples, FL 34109-0596
Phone
(239) 631-1960
Fax
(239) 631-5967
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A46655 CA
Physical Medicine & Rehabilitation Physician 208100000X 164348 NY
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X ME131442 FL Primary

Addresses

Primary practice location

1875 Veterans Park Dr Ste 2201
Naples, FL 34109-0596

Mailing address

1875 Veterans Park Dr
Ste 2201
Naples, FL 34109-0596
Phone (239) 631-1960

Other practice location 1

6 Technology Dr
Suite 100
East Setauket, NY 11733-4079
Phone (631) 689-6698 ext. 2122

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46655CAMDGeneral Practice Dentistry
A46655CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access MD P L PastSince Nov 1, 2007 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8065/brand/1/csg/1/fhir/r4
  • Direct secure messaging: luga.podesta.1@5924.direct.athenahealth.com

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1184680084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 VETERANS PARK DR",
            "address_2": "STE 2201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090596",
            "telephone_number": "239-631-1960",
            "fax_number": "239-631-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 VETERANS PARK DR STE 2201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090596",
            "telephone_number": "239-631-1960",
            "fax_number": "239-631-5967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Technology Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "East Setauket",
            "state": "NY",
            "postal_code": "117334079",
            "country_code": "US",
            "telephone_number": "631-689-6698 x2122",
            "fax_number": "631-751-5548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODESTA",
        "first_name": "LUGA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A46655",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "164348",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "ME131442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.