NPIMap

Individual provider Active NPI

Giovanni Lupo, MD

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1255394060
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME76857 Issued in FL
Practice address
1032 Fieldstone Dr
Melbourne, FL 32940-1633
Phone
(321) 213-3622
Fax
(321) 752-4489
NPI assigned
Apr 11, 2006
Last updated
Apr 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME76857 FL Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME76857 FL

Addresses

Primary practice location

1032 Fieldstone Dr
Melbourne, FL 32940-1633

Mailing address

1032 Fieldstone Dr
Melbourne, FL 32940-1633
Phone (321) 213-3622

Other identifiers 1

IdentifierTypeStateIssuer
271623200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000139 FL Practitioner - Internal Medicine 0143116558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

587 Barton Blvd
Rockledge, FL 32955-3145
Phone (321) 632-6300

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Hospital, Inc. Past Accepting new patients
Osler Medical Inc Past Accepting new patients
Heather Shaffer MD PA Past Accepting new patients
Wuesthoff Health Services Inc Internal Medicine Past Accepting new patients

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1255394060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 FIELDSTONE DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401633",
            "telephone_number": "321-213-3622",
            "fax_number": "321-752-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 FIELDSTONE DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401633",
            "telephone_number": "321-213-3622",
            "fax_number": "321-752-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPO",
        "first_name": "GIOVANNI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME76857",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME76857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271623200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.