Organization Active NPI

Lancet Rheumatology and Sara Lupus Clinic

  • Rheumatology Physician
  • Winston Salem, NC
National Provider Identifier
1255204368
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
LANCET RHEUMATOLOGY AND SARA LUPUS CLINIC
Practice address
275 Executive Park Blvd Ste 601
Winston Salem, NC 27103-1548
Phone
(336) 955-1838
Fax
(336) 955-1842
NPI assigned
Sep 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Nilamadhab MishraNPI 1104801232
Title
MD
Phone
(336) 955-1838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

275 Executive Park Blvd Ste 601
Winston Salem, NC 27103-1548

Mailing address

275 Executive Park Blvd Ste 601
Winston Salem, NC 27103-1548
Phone (336) 955-1838

National Provider Directory

National Provider Directory

Locations

275 Executive Park Blvd
Ste 601
Winston Salem, NC 27103
Phone (336) 955-1838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1255204368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 EXECUTIVE PARK BLVD STE 601",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031548",
            "telephone_number": "336-955-1838",
            "fax_number": "336-955-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 EXECUTIVE PARK BLVD STE 601",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031548",
            "telephone_number": "336-955-1838",
            "fax_number": "336-955-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCET RHEUMATOLOGY AND SARA LUPUS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "NILAMADHAB",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "336-955-1838"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.