Active NPI
Rajeshree Tulloo Dimkpa, M.D.
- Psychiatry Physician
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 200501345
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182478 | Other | NC | MEDCOST |
| 5901639 | Medicaid | NC | |
| 140F8 | Other | NC | BCBS OF NC |
Other names 1
- Dr. Rajeshree Tulloo
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200501345 | NC | MD | Psychiatry Physician |
| 2005-01345 | NC | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rowan Psychiatric and Medical Services PA | Current | 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.
-
- Specialist
- Salisbury, NC
- NPI 1457667800
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1790003481
-
- Mental Health Counselor
- Statesville, NC
- NPI 1437388766
-
- Psychologist
- Statesville, NC
- NPI 1679708721
-
- Psychiatry Physician
- Salisbury, NC
- NPI 1598970683
-
- Public Health or Welfare Agency
- Brooklyn, NY
- NPI 1386678373
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.