Individual provider Active NPI

Celso Benedito Lobao, MD

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1447259676
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35411 Issued in NC
Practice address
3020 Falstaff Rd, Suite B
Raleigh, NC 27610-1812
Phone
(919) 250-7246
Fax
(888) 259-7335
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35411 NC Primary

Addresses

Primary practice location

3020 Falstaff Rd, Suite B
Raleigh, NC 27610-1812

Mailing address

PO Box 14067
Raleigh, NC 27620
Phone (919) 250-7246

Other identifiers 2

IdentifierTypeStateIssuer
8952418MedicaidNC
5901686MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100108000501 NC Practitioner - Psychiatry 3577452291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Michigan State University College of Human Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3020 Falstaff Rd B
Raleigh, NC 27610-1813

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Celso B. Lobao, MD, PA CurrentSince May 18, 1992 Accepting new patients

Locations

3020 Falstaff Rd
Ste B
Raleigh, NC 27610
Phone (919) 250-7246

3020 Falstaff Rd
#B
Raleigh, NC 27610
Phone (919) 250-7246

Organizations & group practices 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1447259676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14067",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27620",
            "telephone_number": "919-250-7246",
            "fax_number": "888-259-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 FALSTAFF RD, SUITE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101812",
            "telephone_number": "919-250-7246",
            "fax_number": "888-259-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBAO",
        "first_name": "CELSO",
        "middle_name": "BENEDITO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "35411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8952418",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901686",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.