Mateusz Andrzej Lapucha, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME157540 Issued in FL

Practice address

3318 SW 120TH Ter
Gainesville, FL 32608-0232

Phone

(337) 371-8163

NPI assigned

Apr 13, 2015

Last updated

Jul 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA, TX, IL, FL4 enrollments

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 4

Specialty

General Practice

Education

Louisiana State University School of Medicine in New Orleans, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Wound CareGroup PAC ID 3375074834, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paragon Wound Care

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1568296689

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Sunshine Surgical and Wound Care LLC

  • Surgery Physician
  • North Bay Village, FL
  • NPI 1952843716

  Single Specialty

  Medicare reassignment NPD
• Robert Marriott Medical Corp

  dba Advantage Wound Care

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938

  LA, TX

  Medicare reassignment
• Florida Seizure Doc PLLC

  dba Neuro Doc

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1184215006

  Single Specialty

  NPD
• Hickory Care LLC

  • Internal Medicine Physician
  • Maitland, FL
  • NPI 1124899869

  Single Specialty

  NPD
• Sunshine Surgical and Wound Care LLC

  • Surgery Physician
  • Lady Lake, FL
  • NPI 1861978652

  Single Specialty

  NPD
• Robert Marriott Medical Corp

  • Surgery Physician
  • Austin, TX
  • NPI 1568913010

  Single Specialty

  NPD

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1992191266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 SW 120TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080232",
            "telephone_number": "337-371-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 SW 120TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080232",
            "telephone_number": "337-371-8163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 N Pacific Coast Hwy Ste 1420",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902455648",
            "country_code": "US",
            "telephone_number": "877-878-3289",
            "fax_number": "877-817-3227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4834 NW 2nd Ave Unit 413",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334314173",
            "country_code": "US",
            "telephone_number": "337-371-8163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAPUCHA",
        "first_name": "MATEUSZ",
        "middle_name": "ANDRZEJ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "19688",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME157540",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "321700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD OF MEDICAL EXAMINERS",
            "identifier": "19688",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF MEDICINE",
            "identifier": "ME157540",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE BOARD OF MEDICAL EXAMINERS",
            "identifier": "321700",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kourtney Dianne Laplant, PHARMD
• Sylvia Laplant
• Marie-Claude Laplante, PHD
• Jimmy Lapnawan Jr., DMD
• Maryse Isaka Lapu, MD
• Liza Flory Parido Laquian, M.D.
• Kathryn Large
• Shannon Large, ARNP, DNP
• Cynthia Lynn Larimer, M.D.
• Larkin Enterprise LLC (ACASA Senior Care of North Central Florida)

• General Practice Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; 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.

Verify at the official NPI Registry.