Jakob Tomas Lupa, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ML60866818 Issued in WA

Practice address

600 Broadway Ste 270
Seattle, WA 98122-5392

Phone

(206) 625-0578

Fax

(206) 625-9184

NPI assigned

Feb 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Anesthesiology

Education

Northwestern University Feinberg Medical School, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Anesthesia Service PLLCGroup PAC ID 6901792365, 183 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025
• Swedish Medical Center Hospital, Seattle, WA, CCN 500027

Merit-based Incentive Payment System (MIPS)

Final score

82.2 of 100Reported as group

Quality

80.9

Improvement activities

40

Cost

75.66

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Physicians Anesthesia Service PLLC

  • Anesthesiology Physician
  • Seattle, WA
  • NPI 1417962200
  Medicare reassignment Care Compare group NPD
• Western Washington Medical Group, Inc, PS

  • Ambulatory Surgical Clinic/Center
  • Everett, WA
  • NPI 1013138536
  NPD

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

• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1306992151
  Care Compare affiliation
• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1356496582
  Care Compare affiliation

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1487045191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840842",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840862",
            "telephone_number": "206-625-0578",
            "fax_number": "206-625-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROADWAY STE 270",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225392",
            "telephone_number": "206-625-0578",
            "fax_number": "206-625-9184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98195",
            "country_code": "US",
            "telephone_number": "206-543-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUPA",
        "first_name": "JAKOB",
        "middle_name": "TOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "ML60866818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Luong
• Hung Can Michael Luong, LAC
• Kelly Phuong Luong, PA-C
• Khanh Hoang Van Luong, MD
• Mina Luongo
• Shai Luria
• Lucy Lurie, PHD
• Sarah Elizabeth Lurtz, PHARMD
• Kristina Jean Lushenko
• Teresa Dejesus Lusignan

• Anesthesiology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.