Individual provider Active NPI

David G Lotufo, M.D.

  • Ophthalmology Physician
  • Quincy, MA
National Provider Identifier
1275571499
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
71420 Issued in MA
Practice address
1900 Crown Colony Dr
Suite 301
Quincy, MA 02169-0979
Phone
(617) 472-5242
Fax
(617) 471-5093
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 71420 MA Primary

Addresses

Primary practice location

1900 Crown Colony Dr
Suite 301
Quincy, MA 02169-0979

Mailing address

1900 Crown Colony Dr
Suite 301
Quincy, MA 02169-0979
Phone (617) 472-5242

Other identifiers 1

IdentifierTypeStateIssuer
3077187MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060301000737 MA Practitioner - Ophthalmology 7810903796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longwood Eye LLCGroup PAC ID 0143632802, 16 clinicians

Practice addresses (Care Compare)

180 Daggett Dr
West Springfield, MA 01089-4667
Phone (413) 452-4111

Merit-based Incentive Payment System (MIPS)

Final score
94.01 of 100Reported as group
Quality
92.29
Improvement activities
40
Cost
73.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71420MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longwood Eye, LLC Ophthalmology CurrentSince Jan 1, 2021 Accepting new patients

Locations

354 Main St
Gardner, MA 01440
Phone (412) 774-7016

33 Riddell St
Greenfield, MA 01301
Phone (413) 772-0853

180 Daggett Dr
West Springfield, MA 01089
Phone (413) 286-2020

Interoperability endpoints

  • Direct secure messaging: davidlotufo@longwood.imwdirect.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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1275571499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CROWN COLONY DR",
            "address_2": "SUITE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690979",
            "telephone_number": "617-472-5242",
            "fax_number": "617-471-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CROWN COLONY DR",
            "address_2": "SUITE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690979",
            "telephone_number": "617-472-5242",
            "fax_number": "617-471-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTUFO",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "71420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077187",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.