Individual provider Active NPI

Lamberto Gutierrez Cosue III, M.D.

  • Internal Medicine Physician
  • Ruleville, MS
National Provider Identifier
1215087515
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14620 Issued in MS
Practice address
840 N Oak Ave
Ruleville, MS 38771-3227
Phone
(662) 756-4024
Fax
(662) 756-4114
NPI assigned
Jan 11, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14620 MS Primary

Addresses

Primary practice location

840 N Oak Ave
Ruleville, MS 38771-3227

Mailing address

PO Box 369
Ruleville, MS 38771-0369
Phone (662) 756-4024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20101217000254 MS Practitioner - Internal MedicinePractitioner - Emergency Medicine 6103014139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Sunflower Medical CenterGroup PAC ID 7618932294, shared by 11 NPIs, 46 clinicians

Practice addresses (Care Compare)

202 S Ruby Ave
Ruleville, MS 38771-3227
Phone (662) 756-2500

840 N Oak Ave
Ruleville, MS 38771-3227
Phone (601) 756-2711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14620MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Sunflower Medical Center CurrentSince Jan 12, 1996 Accepting new patients
North Sunflower Medical Center CurrentSince Oct 1, 2004 Accepting new patients
North Sunflower Medical Center CurrentSince Jan 12, 1996 Accepting new patients
North Sunflower Medical Center Current Accepting new patients

Locations

202 S Ruby Ave
Ruleville, MS 38771
Phone (662) 756-2500

840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711

Interoperability endpoints

  • Direct secure messaging: lambertocosue@nsfmc.allscriptsdirect.net

Organizations & group practices 4

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215087515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "RULEVILLE",
            "state": "MS",
            "postal_code": "387710369",
            "telephone_number": "662-756-4024",
            "fax_number": "662-756-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N OAK AVE",
            "city": "RULEVILLE",
            "state": "MS",
            "postal_code": "387713227",
            "telephone_number": "662-756-4024",
            "fax_number": "662-756-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSUE",
        "first_name": "LAMBERTO",
        "middle_name": "GUTIERREZ",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "14620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruleville, MS

Sources for this page

Verify at the official NPI Registry.