Individual provider Active NPI

Rita Nalubega, MD

  • Family Medicine Physician
  • Devils Lake, ND
National Provider Identifier
1003837964
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11449 Issued in ND
Practice address
503 3Rd St NE
Devils Lake, ND 58301-3015
Phone
(701) 662-4300
Fax
(701) 662-4322
NPI assigned
Jul 23, 2006
Last updated
Jan 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD429395 PA
Family Medicine Physician 207Q00000X 11449 ND Primary

Addresses

Primary practice location

503 3Rd St NE
Devils Lake, ND 58301-3015

Mailing address

503 3Rd St NE
Devils Lake, ND 58301-3015
Phone (701) 662-4300

Other identifiers 1

IdentifierTypeStateIssuer
1457426MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000091 ND Practitioner - Family Practice 5294739017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

503 3Rd St NE
Devils Lake, ND 58301-3015
Phone (701) 662-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11449NDMDFamily Medicine Physician
MD429395PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Sunshine Clinic PLLC Family Medicine CurrentSince Sep 9, 2017 Accepting new patients
Clinic Pharmacy Inc Past Accepting new patients

Locations

503 3rd St NE
Devils Lake, ND 58301
Phone (701) 662-2804

Interoperability endpoints

  • Direct secure messaging: sunshineclinic.ritanalubega@137441.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1003837964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 3RD ST NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013015",
            "telephone_number": "701-662-4300",
            "fax_number": "701-662-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 3RD ST NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013015",
            "telephone_number": "701-662-4300",
            "fax_number": "701-662-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALUBEGA",
        "first_name": "RITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD429395",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "11449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457426",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

Verify at the official NPI Registry.