Active NPI
Gabriel Eduardo Lugo, MD
- Pediatric Gastroenterology Physician
- Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- ME161078
- Practice address
- 6709 Ridge Rd
Port Richey, FL 34668-6834 - Phone
- (727) 351-8121
- NPI assigned
- Apr 12, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | ME161078 | FL | Primary |
Addresses
Primary practice location
6709 Ridge Rd
Port Richey, FL 34668-6834
Mailing address
2901 58TH Ave N
St Petersburg, FL 33714-1326
Phone (727) 822-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC | Pediatrics | Current | Accepting new patients |
| Pediatric Gastroenterology Hepatology & Nutrition of FL P a | Pediatric Gastroenterology | Current | Accepting new patients |
| Pediatric Physician Services, Inc. | Pediatrics | Current | Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients |
Locations
1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100
9400 Gladiolus Dr
Ste 100
Fort Myers, FL 33908
Phone (239) 223-0484
2901 58th Ave N
St Petersburg, FL 33714
601 5th St S
Ste 605
St Petersburg, FL 33701
Phone (727) 822-4300
601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429
501 6th Ave S
Ste 306
St Petersburg, FL 33701
Interoperability endpoints
- glugo1128534@direct.hopkinsmedicine.org
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.
-
- Pediatric Gastroenterology Physician
- St Petersburg, FL
- NPI 1780787382
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Pediatrics Physician
- Birmingham, AL
- NPI 1356377576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1578097085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 58TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337141326",
"telephone_number": "727-822-4300",
"fax_number": "727-456-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6709 RIDGE RD",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346686834",
"telephone_number": "727-351-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO",
"first_name": "GABRIEL",
"middle_name": "EDUARDO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-12",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "FL",
"license": "ME161078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.