Individual provider Active NPI

Toma Radut, MD

  • Internal Medicine Physician
  • Lincolnton, NC
National Provider Identifier
1407856461
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9700719 Issued in NC
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

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C3175OtherMEDCOST
1066YOtherBLUE CROSS
MB08OtherPRIMARY PHYSICIAN CARE
891066YMedicaidNC
1102477226OtherRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000911 NC Practitioner - Internal Medicine 7113943465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Group practices
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Lincoln Internal Medicine PAGroup PAC ID 2860418118, 4 clinicians

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 Hospital, Lincolnton, NC, CCN 340145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063557MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Internal Medicine, P.a. Internal Medicine CurrentSince Dec 28, 2002 Accepting new patients
Avance Care, PA PastSince Dec 1, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.