Individual provider Active NPI

Ruth Johanna Lotz, MD

  • Pediatrics Physician
  • Chapel Hill, NC
National Provider Identifier
1376791202
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200200947 Issued in NC
Practice address
301 Kildaire Rd
Suite 200
Chapel Hill, NC 27516-4064
Phone
(919) 967-0771
Fax
(919) 967-9207
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 200200947 NC Primary

Addresses

Primary practice location

301 Kildaire Rd
Suite 200
Chapel Hill, NC 27516-4064

Mailing address

301 Kildaire Rd
Suite 200
Chapel Hill, NC 27516-4064
Phone (919) 967-0771

Other identifiers 2

IdentifierTypeStateIssuer
89132J7MedicaidNC
H68921OtherUPIN

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
I20231215002310 NC Practitioner - Pediatric Medicine 6608225677 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200200947NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Chapel Hill Children & Adolescents' Clinic Pediatrics Past Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

5832 Fayetteville Rd
Ste 113
Durham, NC 27713
Phone (919) 544-2049

4022 Freedom Lake Dr
Durham, NC 27704
Phone (919) 477-2202

Interoperability endpoints

  • Direct secure messaging: rlotz221708@direct.medicine.duke.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1376791202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KILDAIRE RD",
            "address_2": "SUITE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164064",
            "telephone_number": "919-967-0771",
            "fax_number": "919-967-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KILDAIRE RD",
            "address_2": "SUITE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164064",
            "telephone_number": "919-967-0771",
            "fax_number": "919-967-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTZ",
        "first_name": "RUTH",
        "middle_name": "JOHANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200200947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132J7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H68921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.