Active NPI
Michael Lepore, MD
- Otolaryngology Physician
- Punta Gorda, FL
National Provider Identifier
1891704839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME138055
- Practice address
- 713 E Marion Ave Ste 133
Punta Gorda, FL 33950-3868 - Phone
- (941) 833-1777
- Fax
- (941) 347-8544
- NPI assigned
- Aug 7, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 28484 | CO | |
| Otolaryngology Physician | 207Y00000X | ME138055 | FL | Primary |
Addresses
Primary practice location
713 E Marion Ave Ste 133
Punta Gorda, FL 33950-3868
Mailing address
PO Box 876
Aurora, CO 80040-0876
Phone (303) 493-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01284843 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.lepore.1@4692.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- michael.lepore.1@4692.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1891704839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 876",
"city": "AURORA",
"state": "CO",
"postal_code": "800400876",
"telephone_number": "303-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 E MARION AVE STE 133",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503868",
"telephone_number": "941-833-1777",
"fax_number": "941-347-8544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPORE",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CO",
"license": "28484",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME138055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01284843",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.lepore.1@4692.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct address",
"address_1": "713 E Marion Ave Ste 133",
"city": "Punta Gorda",
"state": "FL",
"country_code": "US",
"postal_code": "339503868",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.