Individual provider Active NPI

Javier G Lugo, MD

  • Obstetrics & Gynecology Physician
  • Naples, FL
National Provider Identifier
1235130501
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
65726 Issued in FL
Practice address
4081 Tamiami TRL N
Ste C101
Naples, FL 34103-8738
Phone
(239) 263-4133
Fax
(239) 263-4189
NPI assigned
Aug 9, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 65726 FL Primary

Addresses

Primary practice location

4081 Tamiami TRL N
Ste C101
Naples, FL 34103-8738

Mailing address

4081 Tamiami TRL N
Suite C101
Naples, FL 34103-8738
Phone (239) 263-4133

Other identifiers 8

IdentifierTypeStateIssuer
001403138014OtherFLUNITED HEALTHCARE
226789OtherFLSTAYWELL
256438OtherFLAVMED
8008907009OtherFLCIGNA
26302OtherFLBLUE CROSS BLUE SHIELD
269476000MedicaidFL
5329753OtherFLAETNA
P00203550OtherFLRAILROAD MEDICARE

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
I20040421000405 FL Practitioner - DermatologyPractitioner - Obstetrics/Gynecology 4688660228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4081 Tamiami TRL N
Suite C101
Naples, FL 34103-3573
Phone (239) 263-4133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions565
Skin biopsy193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65726FLMDObstetrics & Gynecology Physician

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1235130501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 TAMIAMI TRL N",
            "address_2": "SUITE C101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038738",
            "telephone_number": "239-263-4133",
            "fax_number": "239-263-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 TAMIAMI TRL N",
            "address_2": "STE C101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038738",
            "telephone_number": "239-263-4133",
            "fax_number": "239-263-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "JAVIER",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-05-13",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "65726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "001403138014",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "226789",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "256438",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8008907009",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26302",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269476000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5329753",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00203550",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.