Individual provider Active NPI

Rafael A Lugo, MD

  • Surgery Physician
  • Shenandoah, TX
National Provider Identifier
1245224492
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K8309 Issued in TX
Practice address
17189 I 45 S Ste 275
Shenandoah, TX 77385-3326
Phone
(832) 377-5846
Fax
(888) 416-9722
NPI assigned
Sep 2, 2005
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K8309 TX Primary

Addresses

Primary practice location

17189 I 45 S Ste 275
Shenandoah, TX 77385-3326

Mailing address

PO Box 131330
Spring, TX 77393-1330
Phone (832) 377-5846

Other identifiers 10

IdentifierTypeStateIssuer
1245224492OtherTXBLUE CROSS BLUE SHIELD
8F6737OtherTXBCBS
031168002MedicaidTX
031168005MedicaidTX
020053268OtherTXRAILROAD MEDICARE
031168003MedicaidTX
5363822OtherTXAETNA
031168004MedicaidTX
401312001MedicaidTX
87670ZOtherTXHMO BLUE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rafaellugomd@Lugosurgicalgroup.drchronodirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100917000183 TX Practitioner - General Surgery 2860517588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ponce School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17189 Interstate 45 S
Suite 275
Shenandoah, TX 77385-3326
Phone (832) 377-5846

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8309TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rafael a Lugo MD PA Surgery CurrentSince Sep 26, 2016 Accepting new patients
Utmb Faculty Group Practice Surgery Past Accepting new patients
Texas Gulf Coast Medical System, Inc Past Accepting new patients

Locations

17189 Interstate 45 S
Ste 275
Shenandoah, TX 77385
Phone (281) 362-1368

10800 Gosling Rd
Unit 131330
Spring, TX 77393

Interoperability endpoints

  • Direct secure messaging: rafaellugomd@lugosurgicalgroup.drchronodirect.com

Organizations & group practices 3

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 1

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1245224492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131330",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773931330",
            "telephone_number": "832-377-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17189 I 45 S STE 275",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853326",
            "telephone_number": "832-377-5846",
            "fax_number": "888-416-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K8309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1245224492",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F6737",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031168002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031168005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020053268",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031168003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5363822",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031168004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401312001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "87670Z",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rafaellugomd@Lugosurgicalgroup.drchronodirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR- Dr chrono",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17189 I 45 S Ste 275",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773853326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.