Individual provider Active NPI

Charles A Lascano, MD

  • Family Medicine Physician
  • Weston, FL
National Provider Identifier
1376715441
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME103606 Issued in FL
Practice address
3250 Meridian Pkwy
Weston, FL 33331-3502
Phone
(954) 659-5000
Fax
(954) 659-5119
NPI assigned
Mar 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME103606 FL Primary
Sports Medicine (Family Medicine) Physician 207QS0010X ME 103606 FL

Addresses

Primary practice location

3250 Meridian Pkwy
Weston, FL 33331-3502

Mailing address

3250 Meridian Pkwy
Weston, FL 33331-3502
Phone (954) 659-5000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100211000419 FL Practitioner - Family PracticePractitioner - Sports Medicine 0547303695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

5501 N University Dr
Suite 104
Coral Springs, FL 33067-4645
Phone (954) 757-0670

Hospital & facility affiliations

  • Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 103606FLMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Dec 2, 2024 Accepting new patients
Guidewell Sanitas I, LLC Family Medicine CurrentSince Apr 20, 2016 Accepting new patients
Mercy Hospital Inc Family Medicine Past Accepting new patients
Ian Family Medicine Inc Past Accepting new patients

Locations

5501 N University Dr
Ste 104
Coral Springs, FL 33067
Phone (954) 518-7800

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

3250 Meridian Pkwy
Weston, FL 33331
Phone (954) 562-7524

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1376715441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 MERIDIAN PKWY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313502",
            "telephone_number": "954-659-5000",
            "fax_number": "954-659-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 MERIDIAN PKWY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313502",
            "telephone_number": "954-659-5000",
            "fax_number": "954-659-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASCANO",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-29",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103606",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME 103606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.