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MICAELA LUPOV PA
NPI 1700263928
Physician Assistant - Medical in Oklahoma City, OK

Active since April 27, 2015PECOS Enrolled
101 N ROBINSON AVE STE 200, OKLAHOMA CITY, OK 73102(405) 271-8880(405) 208-8732 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Micaela Lupov Pa NPPES

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

MICAELA LUPOV PA (NPI 1700263928) is an individual medical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (2497) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700263928
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMICAELA LUPOVCredential: PA
Location Address101 N ROBINSON AVE STE 200Oklahoma City, OK 73102
Mailing Address1145 S Utica Ave, Ste 460Tulsa, OK 74104-4000 · (918) 579-5749 · Fax (918) 560-5791
Phone(405) 271-8880
Fax(405) 208-8732
Sole ProprietorNo
Enumeration DateApril 27, 2015
Last NPPES UpdateAugust 27, 2018
✔ NPI 1700263928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · 2497
101 N ROBINSON AVE STE 200, Oklahoma City, OK 73102
Open in Google Maps ↗

Other Identifiers 1

Medicaid100748790AOK

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Micaela Lupov Pa 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMISE HEALTH OF OKLAHOMA MEDICAL PC
Clinic/Center (Multi-Specialty)
101 N ROBINSON AVE STE 200
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 552-6110

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 Micaela Lupov's NPI number?

The NPI number for Micaela Lupov is 1700263928. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Where is Micaela Lupov located?

Micaela Lupov practices at 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102. The listed phone number is (405) 271-8880.

What is Micaela Lupov's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Micaela Lupov enrolled in Medicare?

Yes. Micaela Lupov is registered in the Medicare PECOS enrollment system.

What insurance does Micaela Lupov accept?

Health plans from Medica and Mending Health list Micaela Lupov 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.

When was this NPI record last updated?

The NPPES record for Micaela Lupov was last updated on August 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.