Individual provider Active NPI

Manuel Lugo Jr., M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Columbus, OH
National Provider Identifier
1316992332
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
35080876 Issued in OH
Practice address
700 Children's Drive
Columbus, OH 43205-2664
Phone
(614) 722-4384
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 35080876 OH Primary
Pediatrics Physician 208000000X 35080876 OH

Addresses

Primary practice location

700 Children's Drive
Columbus, OH 43205-2664

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

444 Butterfly Gardens Dr
Columbus, OH 43215-3427
Phone (614) 722-2000

Other practice location 2

7853 Pacer DR
Delaware, OH 43015-7571
Phone (614) 355-7900

Other practice location 3

7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 355-9050

Other practice location 4

7450 Hospital Dr
Dublin, OH 43016-9642
Phone (614) 355-7000

Other practice location 5

6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 355-8100

Other practice location 6

4363 All Seasons Dr
Hilliard, OH 43026-2050
Phone (614) 355-5900

Other practice location 7

100 Colemans Crossing Blvd
Marysville, OH 43040-7080
Phone (937) 578-7600

Other practice location 8

433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 355-8300

Other identifiers 1

IdentifierTypeStateIssuer
2339964MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, MN, CO, ND, WV6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20040628000841 OH Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 7618953852 Reassigns benefits to 2 organizations
I20120712000215 TX Practitioner - Pediatric Medicine 7618953852 Reassigns benefits to 1 organization
I20121210000103 MN Practitioner - Pediatric Medicine 7618953852 Reassigns benefits to 1 organization
I20230106001111 CO Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 7618953852 Reassigns benefits to 1 organization
I20241211000346 ND Practitioner - Pediatric Medicine 7618953852
I20251010002332 WV Practitioner - Pediatric Medicine 7618953852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Ohio State University College of Medicine, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2107 Pike St
Suite 6
Parkersburg, WV 26101-6973

PO Box
Morgantown, WV 26507

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35080876OHMDPediatric Emergency Medicine (Pediatrics) Physician
35199WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota CurrentSince May 27, 2025 Accepting new patients
Peak Vista Community Health Centers CurrentSince Mar 1, 2024 Accepting new patients
Children's Physician Services of South Texas CurrentSince May 1, 2025 Accepting new patients
Peak Vista Community Health Centers CurrentSince Mar 1, 2024 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince May 27, 2025 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Aug 2, 2025 Accepting new patients
Nationwide Children's Hospital Pediatrics CurrentSince Nov 3, 2025 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Nationwide Children's Hospital CurrentSince Nov 3, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Nov 7, 2024 Accepting new patients
Sanford Medical Center Fargo Pediatrics Current Accepting new patients
Children's Physician Services of South Texas Pediatrics CurrentSince May 1, 2025 Accepting new patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince Apr 1, 2015 Accepting new patients
Sanford Medical Center Fargo CurrentSince Nov 7, 2024 Accepting new patients
RFBF Pediatric Urgent Care PA Pediatrics PastSince Oct 8, 2012 Accepting new patients
Nationwide Children's Hospital Past Accepting new patients

Locations

2828 International Cir
Ste 140
Colorado Springs, CO 80910
Phone (719) 344-7131

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

Dept 781629
Detroit, MI 48278

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

7901 Diley Rd
Canal Winchester, OH 43110
Phone (614) 355-9050

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

6435 E Broad St
Columbus, OH 43213
Phone (614) 355-8100

Dept L289
Columbus, OH 43260

555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554

444 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 938-0167

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900

7450 Hospital Dr
Dublin, OH 43016
Phone (614) 222-8000

4363 All Seasons Dr
Hilliard, OH 43026
Phone (614) 355-5900

100 Colemans Crossing Blvd
Marysville, OH 43040
Phone (937) 578-7600

433 N Cleveland Ave
Westerville, OH 43082
Phone (614) 355-8300

4525 Ayers St
Corpus Christi, TX 78415
Phone (877) 324-7543

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

2107 Pike St
Ste 6
Parkersburg, WV 26101
Phone (304) 865-5500

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1316992332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDREN'S DRIVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-4384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432153427",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7853 Pacer DR",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430157571",
            "country_code": "US",
            "telephone_number": "614-355-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109612",
            "country_code": "US",
            "telephone_number": "614-355-9050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7450 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169642",
            "country_code": "US",
            "telephone_number": "614-355-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6435 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131507",
            "country_code": "US",
            "telephone_number": "614-355-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4363 All Seasons Dr",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430262050",
            "country_code": "US",
            "telephone_number": "614-355-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Colemans Crossing Blvd",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430407080",
            "country_code": "US",
            "telephone_number": "937-578-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 N Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828095",
            "country_code": "US",
            "telephone_number": "614-355-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUGO",
        "first_name": "MANUEL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "OH",
            "license": "35080876",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35080876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339964",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.