Individual provider Active NPI

Matthew R Lugliani, MD

  • Public Health & General Preventive Medicine Physician
  • Aurora, CO
National Provider Identifier
1336314434
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
44074 Issued in CO
Practice address
1390 S Potomac St
Aurora, CO 80012-6165
Phone
(303) 214-0000
Fax
(303) 214-0335
NPI assigned
Apr 29, 2008
Reactivated
Mar 20, 2020
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 44074 CO Primary

Addresses

Primary practice location

1390 S Potomac St
Aurora, CO 80012-6165

Mailing address

1390 S Potomac St Ste 136
Aurora, CO 80012-4529
Phone (303) 214-0000

Other identifiers 1

IdentifierTypeStateIssuer
82-0676791OtherCOOCCUPATIONAL MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44074COMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Occupational Partners, Inc. Past Accepting new patients
Colorado Ocupational Medical Partners, Inc. Public Health & General Preventive Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: matthew.lugliani@3782.securemail.prognocis.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1336314434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST STE 136",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124529",
            "telephone_number": "303-214-0000",
            "fax_number": "303-214-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800126165",
            "telephone_number": "303-214-0000",
            "fax_number": "303-214-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGLIANI",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "deactivation_date": "2020-03-05",
        "reactivation_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CO",
            "license": "44074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL MEDICINE",
            "identifier": "82-0676791",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.