Active NPI
Alvin J Lue, MD
- Family Medicine Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9500649
- Practice address
- 1210 New Garden Rd
Greensboro, NC 27410-2721 - Phone
- (336) 852-1915
- Fax
- (336) 294-3544
- NPI assigned
- Apr 5, 2006
- Last updated
- Apr 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9500649 | NC | Primary |
Addresses
Primary practice location
1210 New Garden Rd
Greensboro, NC 27410-2721
Mailing address
PO Box 14883
Greensboro, NC 27415-4883
Phone (336) 274-6515
Other practice location 1
7811 N Point Blvd
Winston-Salem, NC 27106-3209
Phone (336) 759-0700
Other practice location 2
820 1st Street
Limon, CO 80828-8091
Phone (719) 632-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5903434 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alvin.lue@eaglep.eclinicaldirectplus.com |
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
- Family Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 New Garden Rd
Greensboro, NC 27410-2721
Phone (336) 294-6190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9500649 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Physicians and Associates PA | Family Medicine | Current | Accepting new patients |
| Eagle Physicians and Associates PA | Current | Accepting new patients | |
| Eagle Physicians and Associates PA | Family Medicine | Current | Accepting new patients |
| Carolina Medicorp Enterprises, Inc | Family Medicine | Past | Accepting new patients |
| Eagle Physicians and Associates PA | Past | Accepting new patients | |
| Eagle Physicians and Associates PA | Family Medicine | Past | Accepting new patients |
| Eagle Physicians and Associates PA | Past | Accepting new patients |
Locations
5701 W Friendly Ave
Greensboro, NC 27410
Phone (336) 660-5100
Interoperability endpoints
- alvin.lue@eaglep.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
dba Eagle Family Medicine @ Guilford College
- Family Medicine Physician
- Greensboro, NC
- NPI 1457436982
-
dba Eagle Physical Therapy
- Physical Therapist
- Greensboro, NC
- NPI 1790491751
-
dba Eagle Family Medicine at Oak Ridge
- Family Medicine Physician
- Oak Ridge, NC
- NPI 1982773206
-
dba Prime Care of Greensboro
- Family Medicine Physician
- Greensboro, NC
- NPI 1154389088
-
dba Eagle Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Greensboro, NC
- NPI 1396852570
-
dba Eagle Walk-In Clinic
- Family Medicine Physician
- Greensboro, NC
- NPI 1407929094
-
- Sleep Medicine (Internal Medicine) Physician
- Greensboro, NC
- NPI 1609070648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1235191099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14883",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274154883",
"telephone_number": "336-274-6515",
"fax_number": "336-691-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 NEW GARDEN RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274102721",
"telephone_number": "336-852-1915",
"fax_number": "336-294-3544"
}
],
"practiceLocations": [
{
"address_1": "7811 N Point Blvd",
"address_purpose": "LOCATION",
"city": "Winston-Salem",
"state": "NC",
"postal_code": "271063209",
"country_code": "US",
"telephone_number": "336-759-0700",
"fax_number": "336-759-2226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 1st Street",
"address_purpose": "LOCATION",
"city": "Limon",
"state": "CO",
"postal_code": "808288091",
"country_code": "US",
"telephone_number": "719-632-5700",
"fax_number": "719-344-7817",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUE",
"first_name": "ALVIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9500649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903434",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alvin.lue@eaglep.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1210 New Garden Rd",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274102721",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.