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RICARDO LUGO DDS, MD
NPI 1588078224
Oral & Maxillofacial Surgery in Shreveport, LA

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment
1501 KINGS HWY RM 530, SHREVEPORT, LA 71103(318) 675-6036(318) 675-6129 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ricardo Lugo Dds, Md NPPES

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

RICARDO LUGO DDS, MD (NPI 1588078224) is an individual oral & maxillofacial surgery provider in Shreveport, Louisiana, licensed in Louisiana (311638) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2017).

NPPES Registry Identity

NPI1588078224
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameRICARDO LUGOCredential: DDS, MD
Location Address1501 KINGS HWY RM 530Shreveport, LA 71103-4228
Mailing Address1501 Kings Hwy Rm 530Shreveport, LA 71103-4228 · (318) 675-6036 · Fax (318) 675-6129
Phone(318) 675-6036
Fax(318) 675-6129
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2017
Enumeration DateJune 19, 2014
Last NPPES UpdateJuly 24, 2019
✔ NPI 1588078224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in LA · 311638✔ Licensed in CA · A158305
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 63027 (CA), S-991 (LA)
1501 KINGS HWY RM 530, Shreveport, LA 71103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ricardo Lugo Dds, 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 ID8123353620
PECOS Enrollment IDI20210728003427
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.

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 Ricardo Lugo's NPI number?

The NPI number for Ricardo Lugo is 1588078224. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Ricardo Lugo located?

Ricardo Lugo practices at 1501 Kings Hwy Rm 530, Shreveport, LA 71103. The listed phone number is (318) 675-6036.

What is Ricardo Lugo's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Ricardo Lugo enrolled in Medicare?

Yes. Ricardo Lugo 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.

When was this NPI record last updated?

The NPPES record for Ricardo Lugo was last updated on July 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.