Mary P. Lupo, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

015836 Issued in LA

Practice address

145 Robert E Lee Blvd
Ste 302
New Orleans, LA 70124-2593

Phone

(504) 777-3047

Fax

(504) 288-1535

NPI assigned

May 30, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Dermatology

Education

Tulane University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mary L. Puissegur LupoGroup PAC ID 0244653871, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Mary L. Puissegur Lupo

  • Dermatology Physician
  • New Orleans, LA
  • NPI 1346449949

  Procedural Dermatology

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1649273152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ROBERT E LEE BLVD",
            "address_2": "STE 302",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242593",
            "telephone_number": "504-777-3047",
            "fax_number": "504-288-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ROBERT E LEE BLVD",
            "address_2": "STE 302",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242593",
            "telephone_number": "504-777-3047",
            "fax_number": "504-288-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPO",
        "first_name": "MARY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-30",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "LA",
            "license": "015836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor E Lunyong, MD
• Catherine Yu Luo, MD
• George Luong, MD
• Phi Nguyen Minh Luong, DO
• Arnold Lupin, MD
• Douglas Neil Lurie Jr., MD
• Jamie R Lurie, M.D.
• Claire Lusignan, DPT
• Dreda Romig Lutkewitte, MD
• F Brobson Lutz, Jr., M.D.

• Procedural Dermatology Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Procedural Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.