Individual provider Active NPI

Carmelita Jasmine Lugue, DO

  • Obstetrics & Gynecology Physician
  • Gastonia, NC
National Provider Identifier
1285848143
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2007-00607 Issued in NC
Practice address
2680 Aberdeen Blvd
Ste a
Gastonia, NC 28054-0637
Phone
(704) 865-2229
Fax
(704) 865-2811
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2007-00607 NC Primary

Addresses

Primary practice location

2680 Aberdeen Blvd
Ste a
Gastonia, NC 28054-0637

Mailing address

2680 Aberdeen Blvd
Ste a
Gastonia, NC 28054-0637
Phone (704) 865-2229

Other identifiers 2

IdentifierTypeStateIssuer
5907286MedicaidNC
N0060KMedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070803000129 NC Practitioner - Obstetrics/Gynecology 9739270836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

1225 E Garrison Blvd
Gastonia, NC 28054-5115
Phone (704) 865-7416

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450

620 Summit Crossing PL
Gastonia, NC 28054-2189

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-00607NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Obstetrics & Gynecology Current Accepting new patients
Caromont Medical Group Inc CurrentSince Mar 15, 2011 Accepting new patients
Caromont Medical Group Inc CurrentSince Mar 15, 2011 Accepting new patients
CMG- Gaston Women's Healthcare LLC Obstetrics & Gynecology Past Accepting new patients
Caromont Medical Group Inc Obstetrics & Gynecology Past Accepting new patients
Caromont Medical Group Inc Past Accepting new patients

Locations

2000 Caromont Pkwy
Ste 400
Belmont, NC 28012
Phone (704) 865-7416

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

620 Summit Crossing Pl
Ste 108A
Gastonia, NC 28054
Phone (704) 865-2229

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2680 Aberdeen Blvd
Ste A
Gastonia, NC 28054
Phone (704) 865-2229

Organizations & group practices 6

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1285848143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 ABERDEEN BLVD",
            "address_2": "STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540637",
            "telephone_number": "704-865-2229",
            "fax_number": "704-865-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 ABERDEEN BLVD",
            "address_2": "STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540637",
            "telephone_number": "704-865-2229",
            "fax_number": "704-865-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGUE",
        "first_name": "CARMELITA",
        "middle_name": "JASMINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2007-00607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907286",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0060K",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.