Active NPI
Toma Radut, MD
- Internal Medicine Physician
- Lincolnton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9700719
- Practice address
- 607 S. Generals BLVX
Lincolnton, NC 28092-2717 - Phone
- (704) 736-9188
- Fax
- (704) 736-9667
- NPI assigned
- Jul 29, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9700719 | NC | Primary |
| Internal Medicine Physician | 207R00000X | 4301063557 | MI |
Addresses
Primary practice location
607 S. Generals BLVX
Lincolnton, NC 28092-2717
Mailing address
P.O. Box 70
Lincolnton, NC 28093
Phone (704) 736-9188
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C3175 | Other | MEDCOST | |
| 1066Y | Other | BLUE CROSS | |
| MB08 | Other | PRIMARY PHYSICIAN CARE | |
| 891066Y | Medicaid | NC | |
| 1102477226 | Other | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1976
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
607 S Generals Blvd
Lincolnton, NC 28092-3658
Phone 7047369188116
Hospital & facility affiliations
- Atrium Health Lincoln
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301063557 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Internal Medicine, P.a. | Internal Medicine | Current | Accepting new patients |
| Avance Care, PA | Past | Accepting new patients |
Locations
607 S Generals Blvd
Lincolnton, NC 28092
Phone (704) 736-9188
308 S Academy St
Lincolnton, NC 28092
Phone (704) 736-4570
Interoperability endpoints
- radut.toma.001.0330051@lim.meditab.direct-ci.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Lincolnton, NC
- NPI 1659307270
-
- Physical Therapist
- Gastonia, NC
- NPI 1407932775
-
- Clinic/Center
- Fuquay Varina, NC
- NPI 1487845020
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincolnton, NC
- NPI 1730055054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1407856461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 70",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "28093",
"telephone_number": "704-736-9188",
"fax_number": "704-736-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 S. GENERALS BLVX",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280922717",
"telephone_number": "704-736-9188",
"fax_number": "704-736-9667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADUT",
"first_name": "TOMA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9700719",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301063557",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "C3175",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1066Y",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMARY PHYSICIAN CARE",
"identifier": "MB08",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891066Y",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "1102477226",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.