Individual provider Active NPI

Joseph Peter Lupo, M.D.

  • Surgery Physician
  • Lafayette, LA
National Provider Identifier
1902999485
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.204786 Issued in LA
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

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140815000039 LA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 2769609759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
University of Miami, LM Miller School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

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 Hospital, Lafayette, LA, CCN 190002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy30
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.204786LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Aug 1, 2015 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Aug 1, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.