Individual provider Active NPI

Jacob Michael Lurie, MD

  • Pain Medicine (Anesthesiology) Physician
  • Fairfield, CT
National Provider Identifier
1407475247
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
80666 Issued in CT
Practice address
305 Black Rock Tpke
Fairfield, CT 06825-5508
Phone
(203) 337-2600
Fax
(203) 337-2666
NPI assigned
Apr 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 80666 CT
Pain Medicine (Anesthesiology) Physician 207LP2900X 1018593 MA
Anesthesiology Physician 207L00000X 1018593 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X 80666 CT Primary

Addresses

Primary practice location

305 Black Rock Tpke
Fairfield, CT 06825-5508

Mailing address

305 Black Rock Tpke
Fairfield, CT 06825-5508
Phone (203) 337-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250812003620 CT Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5991240038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Icahn School of Medicine at Mount Sinai, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Orthopaedic Specialty Group PCGroup PAC ID 8820037898, 61 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

305 Black Rock Tpke
Fairfield, CT 06825-5508
Phone (203) 337-2600

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773

Hospital & facility affiliations

  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1018593MAMDAnesthesiology Physician
80666CTMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialty Group, P.C. CurrentSince Sep 1, 2025 Accepting new patients

Locations

305 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 337-2600

760 River Rd
Shelton, CT 06484
Phone (203) 337-2600

2909 Main St
Fl 1
Stratford, CT 06614

2909 Main St
Stratford, CT 06614
Phone (203) 377-5108

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.

Hospital & facility affiliations 2

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": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1407475247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068255508",
            "telephone_number": "203-337-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068255508",
            "telephone_number": "203-337-2600",
            "fax_number": "203-337-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURIE",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-12",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "80666",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "1018593",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "1018593",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CT",
            "license": "80666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.