Antonio Edoardo Lubrano Heinsen, MD
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Arcadia, FL
NPI 1801317367 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1801317367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- ME152653 (FL)
- Practice address
- 425 Nursing Home Dr
Arcadia, FL 34266-3839 - Phone
- (863) 993-2966
- NPI assigned
- Jul 5, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Arcadia Medical Associates PA
Practice addresses (Care Compare)
200 3Rd Ave W
Suite 100
Bradenton, FL 34205-8628
Phone (941) 337-8936
2816 Manatee Ave W
Bradenton, FL 34205-4237
Phone (941) 748-3065
425 Nursing Home Dr
Arcadia, FL 34266-3839
Phone (863) 993-2966
435 Commercial CT
Venice, FL 34292-1658
Phone (941) 559-0262
810 N Mills Ave
Arcadia, FL 34266-8780
Phone (941) 741-2030
Hospital & facility affiliations
- Desoto Memorial Hospital
- Sarasota Memorial Hospital
- Manatee Memorial Hospital
- Lakewood Ranch Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220601002196 | FL | Practitioner - Endocrinology | 7012395106 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME152653 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manatee Endocrine & Diabetes Center | Endocrinology, Diabetes & Metabolism | Current |
Accepting new patients |
| Arcadia Medical Associates PA | Current |
Accepting new patients | |
| MCR Health, Inc. | Current |
Accepting new patients | |
| Arcadia Medical Associates PA | Endocrinology, Diabetes & Metabolism | Current |
Accepting new patients |
| MCR Health, Inc. | Current |
Accepting new patients |
Locations
425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991
200 3rd Ave W
Ste 100
Bradenton, FL 34205
Phone (941) 337-8936
101 Riverfront Blvd
Ste 710
Bradenton, FL 34205
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IEGAED/Endpoint/IEGAED
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME152653 | FL | Yes |
Addresses
Primary practice location
425 Nursing Home Dr
Arcadia, FL 34266-3839
Mailing address
425 Nursing Home Dr
Arcadia, FL 34266-3839
Phone (941) 263-3978
NPI Registry JSON
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1801317367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 NURSING HOME DR",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342663839",
"telephone_number": "941-263-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 NURSING HOME DR",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342663839",
"telephone_number": "863-993-2966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBRANO HEINSEN",
"first_name": "ANTONIO",
"middle_name": "EDOARDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-05",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME152653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, FL
- Kellie Renee' Longenecker
- Luis Wilfredo Lopez-Rodriguez
- Kari Kay Lopez
- Louis H Kirschner D.C. LLC
- Anna M Louiso
- Cara Lukas
- Delton Eugene Lynch
- Mikael Mailloux-Kessler
- Alyssa Herminia Maldonado
- Myshanda Maldonado
All providers in Arcadia, FL · Endocrinology, Diabetes & Metabolism Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.