Individual provider Active NPI

Lawrence A Tepper, D.O.

  • Hematology & Oncology Physician
  • Key West, FL
National Provider Identifier
1528033958
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
OS4845 Issued in FL
Practice address
3426 N Roosevelt Blvd
Key West, FL 33040-4224
Phone
(305) 296-0021
Fax
(561) 848-9166
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X OS4845 FL
Hematology & Oncology Physician 207RH0003X OS4845 FL Primary

Addresses

Primary practice location

3426 N Roosevelt Blvd
Key West, FL 33040-4224

Mailing address

21000 Portofino Cir Apt 103
Palm Beach Gardens, FL 33418-1262
Phone (561) 848-1011

Other practice location 1

1240 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 741-5565

Other identifiers 2

IdentifierTypeStateIssuer
1528033958OtherNPI
063922200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DOC16LT@AOL.COM

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
I20091015000364 FL Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Thoracic SurgeryPractitioner - Hematology/Oncology 9830266303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology, Thoracic Surgery
Education
Philadelphia College of Osteopathic Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jupiter Medical Center Physicians Group IncGroup PAC ID 4284797069, 151 clinicians

Practice addresses (Care Compare)

1240 S Old Dixie Hwy
Suite 202
Jupiter, FL 33458-7205
Phone (561) 263-4400

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS4845FLMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC CurrentSince Jun 29, 2021 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Jun 29, 2021 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince May 1, 2023 Accepting new patients
Genesiscare USA of Florida LLC Hematology & Oncology Current Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince May 1, 2023 Accepting new patients

Locations

20601 E Dixie Hwy
Ste 330
Aventura, FL 33180
Phone (305) 932-4198

9970 Central Park Blvd N
Ste 304
Boca Raton, FL 33428
Phone (561) 482-6611

21020 State Road 7
Ste 100
Boca Raton, FL 33428
Phone (561) 472-0065

9960 Central Park Blvd N
Ste 100
Boca Raton, FL 33428
Phone (561) 226-4180

2623 S Seacrest Blvd
Ste 60
Boynton Beach, FL 33435
Phone (561) 742-0065

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

1240 S Old Dixie Hwy
Ste 202
Jupiter, FL 33458
Phone (561) 263-4400

1240 S Old Dixie Hwy
Fl 2
Jupiter, FL 33458
Phone (561) 263-4400

1240 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 263-4400

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1680 S Central Blvd
Ste 112
Jupiter, FL 33458
Phone (561) 741-9000

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

3426 N Roosevelt Blvd
Key West, FL 33040
Phone (305) 294-8812

21150 Biscayne Blvd
Ste 104
Miami, FL 33180
Phone (305) 535-2170

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1528033958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 PORTOFINO CIR APT 103",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181262",
            "telephone_number": "561-848-1011",
            "fax_number": "561-848-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 N ROOSEVELT BLVD",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404224",
            "telephone_number": "305-296-0021",
            "fax_number": "561-848-9166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 S Old Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587205",
            "country_code": "US",
            "telephone_number": "561-741-5565",
            "fax_number": "561-741-5564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEPPER",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "OS4845",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "OS4845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528033958",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063922200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DOC16LT@AOL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "address_1": "3426 N Roosevelt Blvd",
            "city": "Key West",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330404224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.