Active NPI
Rafael A Lugo, MD
- Surgery Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- K8309
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245224492 | Other | TX | BLUE CROSS BLUE SHIELD |
| 8F6737 | Other | TX | BCBS |
| 031168002 | Medicaid | TX | |
| 031168005 | Medicaid | TX | |
| 020053268 | Other | TX | RAILROAD MEDICARE |
| 031168003 | Medicaid | TX | |
| 5363822 | Other | TX | AETNA |
| 031168004 | Medicaid | TX | |
| 401312001 | Medicaid | TX | |
| 87670Z | Other | TX | HMO BLUE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 15 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8309 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rafael a Lugo MD PA | Surgery | Current | 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
- 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.
-
dba Texas Gulf Coast Medical System
- Family Medicine Physician
- Webster, TX
- NPI 1962512160
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Houston Methodist The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.