Active NPI
Andrew Lupo, M.D.
- Obstetrics & Gynecology Physician
- Kansas City, MO
National Provider Identifier
1750745568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2021015247
- Practice address
- 2211 Charlotte St
Kansas City, MO 64108-2733 - Phone
- (816) 404-4966
- NPI assigned
- Apr 7, 2016
- Last updated
- Jun 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2021015247 | MO | Primary |
Addresses
Primary practice location
2211 Charlotte St
Kansas City, MO 64108-2733
Mailing address
2211 Charlotte St
Kansas City, MO 64108-2733
Other practice location 1
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current | Accepting new patients | |
| Emory Health Care | Past | Accepting new patients | |
| Choa Multispecialty, LLC | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
Organizations & group practices 3
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.
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- Atlanta, GA
- NPI 1396798229
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- Pediatrics Physician
- Brookhaven, GA
- NPI 1437493467
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1750745568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 CHARLOTTE ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 CHARLOTTE ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082733",
"telephone_number": "816-404-4966"
}
],
"practiceLocations": [
{
"address_1": "2401 Gillham Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641084619",
"country_code": "US",
"telephone_number": "816-234-3000",
"fax_number": "816-302-9939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUPO",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-07",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2021015247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.