ERIC J LULLOVE DPM PA
NPI 1952361891
Podiatrist - Foot & Ankle Surgery in Coconut Creek, FL

Active since March 24, 2006
4855 W HILLSBORO BLVD STE B6, COCONUT CREEK, FL 33073(561) 989-9780(561) 989-9781 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eric J Lullove Dpm Pa NPPES

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

ERIC J LULLOVE DPM PA (NPI 1952361891) is a healthcare organization registered as a foot & ankle surgery in Coconut Creek, Florida and active in the NPI registry since March 2006. The organization maintains a secondary practice location in Boca Raton and lists Eric Jay Lullove, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1952361891
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameERIC J LULLOVE DPM PA
Location Address4855 W HILLSBORO BLVD STE B6Coconut Creek, FL 33073-4356
Mailing Address4855 W Hillsboro Blvd Ste B6Coconut Creek, FL 33073-4356 · (561) 989-9780 · Fax (561) 989-9781
Fax(561) 989-9781
Organization SubpartNo
Authorized OfficialEric Jay LulloveOwner/president · (561) 989-9780
Enumeration DateMarch 24, 2006
Last NPPES UpdateApril 13, 2020
NPPES CertifiedApril 13, 2020
✔ NPI 1952361891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO3133
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License PO3133 (FL)
4855 W HILLSBORO BLVD STE B6, Coconut Creek, FL 33073

Secondary Practice Location 1

Location 17301 W Palmetto Park Rd, Suite 201-CBoca Raton, FL 33433-3458 · Phone (561) 989-9780 · Fax (561) 989-9781

Other Identifiers 1

Medicaid340480300FL

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric J Lullove Dpm Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20100930022843DME · Physician - PodiatryDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eric J Lullove DPM PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1104811744
4855 W HILLSBORO BLVD STE B6
Coconut Creek, FL 33073
(561) 989-9780
✔ PECOS✔ Accepts MedicareSame address

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

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 Eric J Lullove Dpm PA's NPI number?

The NPI number for Eric J Lullove Dpm PA is 1952361891. It was assigned to this organization in the NPPES registry on March 24, 2006.

Where is Eric J Lullove Dpm PA located?

Eric J Lullove Dpm PA is located at 4855 W Hillsboro Blvd Ste B6, Coconut Creek, FL 33073. The listed phone number is (561) 989-9780.

What is Eric J Lullove Dpm PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Eric J Lullove Dpm PA enrolled in Medicare?

Yes. Eric J Lullove Dpm PA is registered in the Medicare PECOS enrollment system.

When is Eric J Lullove Dpm PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Eric J Lullove Dpm PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Eric J Lullove Dpm PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eric J Lullove Dpm PA was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.