Individual provider Active NPI

Thomas Lampone, M.D.

  • Internal Medicine Physician
  • Gulf Breeze, FL
National Provider Identifier
1821020892
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0052223 Issued in FL
Practice address
104 Matamoros Dr
Gulf Breeze, FL 32561-5234
Phone
(850) 406-2282
Fax
(877) 879-2339
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0052223 FL Primary

Addresses

Primary practice location

104 Matamoros Dr
Gulf Breeze, FL 32561-5234

Mailing address

PO Box 355
Gulf Breeze, FL 32562-0355
Phone (850) 406-2282

Other identifiers 4

IdentifierTypeStateIssuer
P00080293OtherRAILROAD MEDICARE
590-70714OtherALBLUE CROSS BLUE SHIELD
07371OtherFLBLUE CROSS BLUE SHIELD
262644600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110819000437 FL Practitioner - Internal Medicine 4284804741 Practice locations: Pensacola, FL; Gulf Breeze, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0052223FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avenir Ventures, L.L.C. Past Accepting new patients
Avenir Ventures, L.L.C. PastSince Jun 1, 2012 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1821020892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325620355",
            "telephone_number": "850-406-2282",
            "fax_number": "877-879-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MATAMOROS DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325615234",
            "telephone_number": "850-406-2282",
            "fax_number": "877-879-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPONE",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0052223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00080293",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "590-70714",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07371",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262644600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.