Individual provider Active NPI

Robert Lugo, MD

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1700179827
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
276007 Issued in NY
Practice address
462 Grider St
Suny Clinical Center Cc102
Buffalo, NY 14215-3021
Phone
(716) 898-5972
NPI assigned
May 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 276007 NY Primary

Addresses

Primary practice location

462 Grider St
Suny Clinical Center Cc102
Buffalo, NY 14215-3021

Mailing address

462 Grider St
Buffalo, NY 14215
Phone (619) 282-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140815001183 NY Practitioner - Family Practice 6406073311 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4050 Harlem Rd
Amherst, NY 14226-4711
Phone (716) 844-9716

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276007NYMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Buffalo, Inc. CurrentSince Apr 25, 2022 Accepting new patients
Ub Family Medicine, Inc Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Mar 1, 2015 Accepting new patients
Blue Buffalo Primary Care Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Mar 1, 2015 Accepting new patients
University Emergency Medical Services Inc. Current Accepting new patients

Locations

2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273

34 Benwood Ave
Buffalo, NY 14214
Phone (716) 898-4449

4050 Harlem Rd
Buffalo, NY 14226
Phone (716) 803-1504

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

Interoperability endpoints

  • Direct secure messaging: drlugo@bluebuffaloprimarycare.medentdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDJFBA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1700179827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14215",
            "telephone_number": "619-282-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "SUNY CLINICAL CENTER CC102",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "276007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.