Individual provider Active NPI

Rajeshree Tulloo Dimkpa, M.D.

  • Psychiatry Physician
  • Salisbury, NC
National Provider Identifier
1194793240
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200501345 Issued in NC
Practice address
310 Statesville Blvd
Salisbury, NC 28144-2316
Phone
(704) 637-1888
Fax
(704) 637-1880
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 200501345 NC Primary
Geriatric Psychiatry Physician 2084P0805X 2005-01345 NC

Addresses

Primary practice location

310 Statesville Blvd
Salisbury, NC 28144-2316

Mailing address

PO Box 1385
Ahoskie, NC 27910-1385
Phone (252) 209-8161

Other identifiers 3

IdentifierTypeStateIssuer
182478OtherNCMEDCOST
5901639MedicaidNC
140F8OtherNCBCBS OF NC

Other names 1

  • Dr. Rajeshree Tulloo Former name

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
I20050908000203 NC Practitioner - Psychiatry 0143282384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rowan Psychiatric and Medical Services PAGroup PAC ID 1557542123, 10 clinicians

Practice addresses (Care Compare)

117 Fuchia LN
Lincolnton, NC 28092-4287
Phone (704) 520-3620

1216 School St
Suite B
Wilkesboro, NC 28697-2634
Phone (336) 667-1140

310 Statesville Blvd
Salisbury, NC 28144-2368
Phone (704) 637-1888

611 Church St N
Concord, NC 28025-4322
Phone (704) 963-9270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200501345NCMDPsychiatry Physician
2005-01345NCMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Psychiatric and Medical Services PA CurrentSince Oct 1, 2010 Accepting new patients
Rowan Medical Practices, Inc. Psychiatry Past Accepting new patients
Downstate Mental Hygiene Associates Past Accepting new patients
Mental Health Provider Services LLC Past Accepting new patients
Carolina Family Comprehensive Services, Inc. Past Accepting new patients
Carolinas Counseling Solutions Inc. Past Accepting new patients

Locations

611 Church St N
Concord, NC 28025
Phone (704) 637-1888

117 Fuchia Ln
Lincolnton, NC 28092
Phone (704) 520-3620

310 Statesville Blvd
Ste 1
Salisbury, NC 28144
Phone (704) 637-1888

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1194793240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279101385",
            "telephone_number": "252-209-8161",
            "fax_number": "252-209-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STATESVILLE BLVD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442316",
            "telephone_number": "704-637-1888",
            "fax_number": "704-637-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMKPA",
        "first_name": "RAJESHREE",
        "middle_name": "TULLOO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200501345",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NC",
            "license": "2005-01345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "182478",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901639",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "140F8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJESHREE",
            "last_name": "TULLOO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.