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DR. NOAH VINCENZO LUPICA MD
NPI 1417538109
Pediatrics in Greenwich, CT

Active since April 15, 2021PECOS Enrolled
644 W PUTNAM AVE # 203, GREENWICH, CT 06830(203) 661-6430(203) 661-2597 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 24, 2025, Jun 24, 2024, Apr 15, 2021 (3 updates tracked since 2021).

About Dr. Noah Vincenzo Lupica Md NPPES

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

DR. NOAH VINCENZO LUPICA MD (NPI 1417538109) is an individual pediatrics provider in Greenwich, Connecticut, licensed in Rhode Island (CMD20062) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417538109
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. NOAH VINCENZO LUPICACredential: MD
Location Address644 W PUTNAM AVE # 203Greenwich, CT 06830-6088
Mailing Address644 W Putnam Ave # 203Greenwich, CT 06830-6088 · (203) 661-6430 · Fax (203) 661-2597
Phone(203) 661-6430
Fax(203) 661-2597
Sole ProprietorNo
Enumeration DateApril 15, 2021
Last NPPES UpdateJune 25, 20263 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1417538109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in RI · CMD20062✔ Licensed in NY · 343022✔ Licensed in CT · 83992
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
644 W PUTNAM AVE # 203, Greenwich, CT 06830
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Noah Vincenzo Lupica Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Noah Lupica reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thundermist Health Center
116 mi
Federally Qualified Health Center (FQHC)
1 RIVER ST
Wakefield, RI 02879
  • Reassigned Medicare billing, Rhode Island enrollment
  • 288 clinicians in this Medicare group
NPI 1700041001 (401) 783-0523

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06830 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Noah Lupica's NPI number?

The NPI number for Noah Lupica is 1417538109. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Noah Lupica located?

Noah Lupica practices at 644 W Putnam Ave # 203, Greenwich, CT 06830. The listed phone number is (203) 661-6430.

What is Noah Lupica's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Noah Lupica enrolled in Medicare?

Yes. Noah Lupica is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Noah Lupica's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noah Lupica reassigns Medicare benefits to Thundermist Health Center (Wakefield, RI). The 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 Noah Lupica's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Noah Lupica was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.