Individual provider Active NPI

Chris Paul Lupold, MD

  • Family Medicine Physician
  • Ronks, PA
National Provider Identifier
1063417178
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD422618 Issued in PA
Practice address
334 Hartman Bridge Rd
Ronks, PA 17572
Phone
(717) 925-8469
Fax
(717) 983-4722
NPI assigned
Jun 15, 2005
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD422618 PA Primary

Addresses

Primary practice location

334 Hartman Bridge Rd
Ronks, PA 17572

Mailing address

334 Hartman Bridge Rd
Ronks, PA 17572-9508
Phone (717) 925-8469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2017 through Jul 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alere Family Health, LLC Family Medicine CurrentSince May 16, 2021 Accepting new patients

Locations

334 Hartman Bridge Rd
Ronks, PA 17572
Phone (717) 687-9815

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1063417178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 HARTMAN BRIDGE RD",
            "city": "RONKS",
            "state": "PA",
            "postal_code": "175729508",
            "telephone_number": "717-925-8469",
            "fax_number": "717-983-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 HARTMAN BRIDGE RD",
            "city": "RONKS",
            "state": "PA",
            "postal_code": "17572",
            "telephone_number": "717-925-8469",
            "fax_number": "717-983-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPOLD",
        "first_name": "CHRIS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD422618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronks, PA

Sources for this page

Verify at the official NPI Registry.