Active NPI
Joseph Peter Lupo, M.D.
- Surgery Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD.204786
- Practice address
- 900 E Saint Mary Blvd Ste 104
Lafayette, LA 70503-2378 - Phone
- (337) 504-3640
- Fax
- (337) 504-3776
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD.204786 | LA | Primary |
Addresses
Primary practice location
900 E Saint Mary Blvd Ste 104
Lafayette, LA 70503-2378
Mailing address
900 E Saint Mary Blvd Ste 104
Lafayette, LA 70503-2378
Phone (337) 504-3640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Miami, LM Miller School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 W Pinhook Rd
Lafayette, LA 70503-2460
1122 S Bernard C
Executive Health
Broussard, LA 70518-3408
Phone (337) 703-6476
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7374
900 E Saint Mary Blvd
Lafayette, LA 70503-2378
Phone (337) 504-3640
Hospital & facility affiliations
- Ochsner Lafayette General Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 30 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.204786 | LA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc | Past | Accepting new patients |
Locations
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
900 E Saint Mary Blvd
Ste 104
Lafayette, LA 70503
Phone (337) 504-3640
Interoperability endpoints
- jlupo102366@direct.ochsner.org
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.
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1467687186
-
- Neurology Physician
- Lafayette, LA
- NPI 1568492841
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1902999485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E SAINT MARY BLVD STE 104",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032378",
"telephone_number": "337-504-3640",
"fax_number": "337-504-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E SAINT MARY BLVD STE 104",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032378",
"telephone_number": "337-504-3640",
"fax_number": "337-504-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPO",
"first_name": "JOSEPH",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "MD.204786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.