Active NPI
Lucas Gomes Sapienza, MD
- Radiation Oncology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME167631
- Practice address
- 2015 Jefferson St
Jacksonville, FL 32206-3531 - Phone
- (904) 588-1800
- Fax
- (904) 588-1300
- NPI assigned
- Jun 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME167631 | FL | Primary |
Addresses
Primary practice location
2015 Jefferson St
Jacksonville, FL 32206-3531
Mailing address
2015 Jefferson St
Jacksonville, FL 32206-3531
Phone (904) 588-1800
Other practice location 1
16001 W 9 Mile Rd Ste 416
Southfield, MI 48075-4818
Phone (248) 849-7902
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250408003465 | FL | Practitioner - Radiation Oncology | 8628303740 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Proton Therapy Institute Inc
Practice addresses (Care Compare)
2015 Jefferson St
Jacksonville, FL 32206-3531
Phone (904) 588-1800
Hospital & facility affiliations
- Shands Jacksonville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Proton Therapy Institute Inc | Radiation Oncology | Current | Accepting new patients |
Locations
2015 Jefferson St
Jacksonville, FL 32206
Phone (904) 588-1239
Interoperability endpoints
- lsapienza773558@direct.shands.ufl.edu
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.
-
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1891748257
FL, Radiation Oncology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1497316640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 JEFFERSON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322063531",
"telephone_number": "904-588-1800",
"fax_number": "904-588-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 JEFFERSON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322063531",
"telephone_number": "904-588-1800",
"fax_number": "904-588-1300"
}
],
"practiceLocations": [
{
"address_1": "16001 W 9 Mile Rd Ste 416",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480754818",
"country_code": "US",
"telephone_number": "248-849-7902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAPIENZA",
"first_name": "LUCAS",
"middle_name": "GOMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-27",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME167631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.