DR. ENAS TUPPO MD
NPI 1346240215
Family Medicine in Hawthrone, NJ

Q: What is Enas Tuppo's NPI number?

The NPI number for Enas Tuppo is 1346240215. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Q: What is Enas Tuppo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Enas Tuppo was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment

1083 GOFFLE ROAD, HAWTHRONE, NJ 07506(973) 427-2421(973) 427-5892 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Enas Tuppo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ENAS TUPPO MD (NPI 1346240215) is an individual family medicine provider in Hawthrone, New Jersey, licensed in New Jersey (25MA06463100) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Wayne State University School Of Medicine (1995).

NPPES Registry Identity

NPI1346240215

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ENAS TUPPOCredential: MD

Location Address1083 GOFFLE ROADHawthrone, NJ 07506

Mailing Address1083 Goffle RoadHawthrone, NJ 07506 · (973) 427-2421 · Fax (973) 427-5892

Phone(973) 427-2421

Fax(973) 427-5892

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 1995

Enumeration DateJuly 21, 2005

Last NPPES UpdateNovember 2, 2010

✔ NPI 1346240215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA06463100

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1083 GOFFLE ROAD, Hawthrone, NJ 07506

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Other Identifiers 3

Medicaid8238707NJ

Medicare UPING77773NJ

Medicare PIN014978NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Enas Tuppo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527093186

PECOS Enrollment IDI20101102001269

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Enas Tuppo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Associates Of Englewood, PC

11 mi

Internal Medicine

350 ENGLE ST
Englewood, NJ 07631

Reassigned Medicare billing, New Jersey enrollment
849 clinicians in this Medicare group

NPI 1952681918 (201) 608-2136

United Clinical Group Nj

32 mi

Family Medicine

49 US HIGHWAY 202 STE 13A-10
Far Hills, NJ 07931

Reassigned Medicare billing, New Jersey enrollment
13 clinicians in this Medicare group

NPI 1831801083 (877) 328-7112

The Radiology Group Of New Jersey, LLC

35 mi

Multi-Specialty

651 WILLOW GROVE ST
Hackettstown, NJ 07840

Reassigned Medicare billing, New Jersey enrollment
429 clinicians in this Medicare group

NPI 1174010540 (908) 979-1621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

650 services228 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

444 services216 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

302 services252 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

186 services186 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

153 services100 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

142 services84 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

106 services106 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

97 services96 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

92 services92 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

63 services63 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

54 services26 patients

Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique 87634

This test identifies the presence of the Respiratory Syncytial Virus (RSV) in your body. It uses a technique called the amplified probe, which increases the amount of viral genetic material, making it easier to detect. This helps in diagnosing RSV infections accurately.

36 services35 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

34 services30 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

33 services33 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

32 services31 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

32 services32 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

28 services26 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

25 services20 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

23 services22 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

20 services20 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310045

Location350 Engle StEnglewood, NJ 07631 · Bergen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier11 claims11 services$34.96 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enas Tuppo's NPI number?

The NPI number for Enas Tuppo is 1346240215. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Enas Tuppo located?

Enas Tuppo practices at 1083 Goffle Road, Hawthrone, NJ 07506. The listed phone number is (973) 427-2421.

What is Enas Tuppo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Enas Tuppo enrolled in Medicare?

Yes. Enas Tuppo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Enas Tuppo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enas Tuppo reassigns Medicare benefits to 3 organizations: Medical Associates Of Englewood, PC (Englewood, NJ), United Clinical Group Nj (Far Hills, NJ) and The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Enas Tuppo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Enas Tuppo accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Enas Tuppo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Enas Tuppo affiliated with any hospitals?

According to CMS data, Enas Tuppo is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Enas Tuppo was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.