Edrick Gabriel Lugo Millan, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME168824 Issued in FL

Practice address

400 Health Park Blvd
St Augustine, FL 32086-5784

Phone

(904) 819-5155

NPI assigned

Jul 19, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, PR, VI, FL4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sono X Ray Radiology GroupGroup PAC ID 6406750769, 15 clinicians

University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.68 of 100Reported as group

Quality

100

Improvement activities

40

Cost

78.28

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
• Direct secure messaging: egmillan@direct.uabmedicine.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: elugomillan303343@direct.tgh.org

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.

• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment Care Compare group NPD
• Sono X Ray Radiology Group

  • Diagnostic Radiology Physician
  • Caguas, PR
  • NPI 1932223237
  Medicare reassignment Care Compare group
• Villages Regional Hospital Physician Services LLC

  • Surgery Physician
  • Leesburg, FL
  • NPI 1700669926
  Medicare reassignment NPD
• Danville Physician Practices LLC

  • Diagnostic Radiology Physician
  • Danville, VA
  • NPI 1265243612

  PR

  Medicare reassignment NPD
• DLP Twin County Physician Practices LLC

  • Surgery Physician
  • Galax, VA
  • NPI 1033485925

  Diagnostic Radiology, PR

  Medicare reassignment NPD
• Oncology & Body Imaging PSC

  • Diagnostic Radiology Physician
  • San Juan, PR
  • NPI 1699309161
  Medicare reassignment NPD
• Radiologia del Turabo, C.S.P.

  • Diagnostic Radiology Physician
  • Caguas, PR
  • NPI 1023349339
  Medicare reassignment
• St Thomas Radiology Associates LLC

  • Diagnostic Radiology Physician
  • St Thomas, VI
  • NPI 1659385011
  Medicare reassignment
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Medical Imaging Center of Ocala LLP

  • Diagnostic Radiology Physician
  • Ocala, FL
  • NPI 1215602032
  NPD (past)
• St. Thomas Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • St Croix, VI
  • NPI 1912292988
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1154435824
  Care Compare affiliation
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1194178673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865784",
            "telephone_number": "904-819-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "668 Hernandez Carrion",
            "address_2": "Urb. Atenas",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-621-3700 x1458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352493901",
            "country_code": "US",
            "telephone_number": "787-613-1540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Centro Medico",
            "address_2": "Barrio Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-758-2525 x2482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 Ave Ponce De Leon Ste 37 1/2",
            "address_purpose": "LOCATION",
            "city": "Hato Rey",
            "state": "PR",
            "postal_code": "009175023",
            "country_code": "US",
            "telephone_number": "787-758-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUGO MILLAN",
        "first_name": "EDRICK",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME168824",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "44248",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "22388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122844300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indya Jamicena Lorick, RDH
• Keffion Lovelace
• Loving Care Living Facility Incorporated
• Carlos Andres Lozano
• Jose Antonio Lozano, MD, CSFA, OPA-C
• Heather Sherry-Anne Luing, MD
• Guadalupe Luis, LCSW
• Thomas David Lukacsa, PA-C
• Ashley Lumpkins, OT
• Julie Marie Lumsden

• Diagnostic Radiology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.

Verify at the official NPI Registry.