Active NPI
Nicholas Carlo Lupano, DO
- Emergency Medicine Physician
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 8694
- Practice address
- 3401 W Gore Blvd # L
Lawton, OK 73505-6332 - Phone
- (580) 355-8620
- NPI assigned
- May 16, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 8694 | OK | Primary |
Addresses
Primary practice location
3401 W Gore Blvd # L
Lawton, OK 73505-6332
Mailing address
3401 W Gore Blvd # L
Lawton, OK 73505-6332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Zotec Way
Carmel, IN 46032-0052
PO Box
Newark, NJ 07101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCC Duncan Inc | Current | Accepting new patients | |
| Arbuckle Memorial Hospital | Current | Accepting new patients | |
| Emergency Physicians of Mid-America, P.C. | Emergency Medicine | Current | Accepting new patients |
Locations
1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458
1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
2011 W Broadway Ave
Sulphur, OK 73086
Phone (580) 622-2161
3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551
Interoperability endpoints
- nlupano537330@direct-ehr-ssmhc.com
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.
-
- Critical Access Hospital
- Sulphur, OK
- NPI 1700869492
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
-
- Hospitalist Physician
- Duncan, OK
- NPI 1013153543
-
- Emergency Medicine Physician
- Passaic, NJ
- NPI 1477063329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1780375212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD # L",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD # L",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332",
"telephone_number": "580-355-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPANO",
"first_name": "NICHOLAS",
"middle_name": "CARLO",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-16",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "8694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.