Individual provider Active NPI

Joel Lutterman

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1144286691
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2010-02061 Issued in NC
Practice address
200 Swinburne St
Raleigh, NC 27610
Phone
(919) 243-3143
NPI assigned
Apr 25, 2006
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2010-02061 NC Primary

Addresses

Primary practice location

200 Swinburne St
Raleigh, NC 27610

Mailing address

200 Swinburne Street
Raleigh, NC 27610
Phone (919) 242-3143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140121001545 NC Practitioner - Pediatric Medicine 6709079114 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Boston University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of WakeGroup PAC ID 6305759952, 21 clinicians

Practice addresses (Care Compare)

10 Sunnybrook Rd
Raleigh, NC 27610-1808
Phone (919) 212-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-02061NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc CurrentSince Feb 13, 2021 Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc CurrentSince Feb 13, 2021 Accepting new patients
County of Wake Current Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 5, 2023 Accepting new patients
County of Wake CurrentSince Nov 22, 2023 Accepting new patients
County of Wake CurrentSince Nov 22, 2023 Accepting new patients
Advance Community Health, Inc CurrentSince Jun 10, 2022 Accepting new patients
Piedmont Pulmonology, LLC Pediatrics Past Accepting new patients

Locations

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

187 High House Rd
Cary, NC 27511

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

111 S Church St
Louisburg, NC 27549
Phone (919) 250-2923

10 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 250-4570

1011 Rock Quarry Rd
Raleigh, NC 27610

1430 S Wilmington St
Raleigh, NC 27603

200 Swinburne St
Raleigh, NC 27610
Phone (919) 250-1033

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

Interoperability endpoints

  • Direct secure messaging: jlutterman328908@direct.ochin.org

Organizations & group practices 10

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1144286691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SWINBURNE STREET",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-242-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SWINBURNE ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-243-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTERMAN",
        "first_name": "JOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2010-02061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.