Active NPI
Javier G Lugo, MD
- Obstetrics & Gynecology Physician
- Naples, FL
National Provider Identifier
1235130501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 65726
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001403138014 | Other | FL | UNITED HEALTHCARE |
| 226789 | Other | FL | STAYWELL |
| 256438 | Other | FL | AVMED |
| 8008907009 | Other | FL | CIGNA |
| 26302 | Other | FL | BLUE CROSS BLUE SHIELD |
| 269476000 | Medicaid | FL | |
| 5329753 | Other | FL | AETNA |
| P00203550 | Other | FL | RAILROAD 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- 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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 565 |
| Skin biopsy | 193 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65726 | FL | MD | Obstetrics & 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.
-
- Medical Specialty Clinic/Center
- Naples, FL
- NPI 1972938108
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.