Raul H Lupia, MD

Individual provider Active NPI Emergency Medicine Physician · Valdese, NC

NPI 1477515369 · NPPES record last updated Jul 6, 2010

Key facts

NPI
1477515369
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
9400906 (NC)
Practice address
720 Malcolm Blvd
Valdese, NC 28690
Phone
(843) 237-3378
Fax
(843) 237-5073
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 11

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01042330AINMDEmergency Medicine Physician
9400906NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frye Emergency Medical Associates LLC Emergency Medicine Past Accepting new patients
Neuse River Emergency Physicians Emergency Medicine Past Accepting new patients
Kinston Physicians Group, PLLC Emergency Medicine Past
since Apr 19, 2020
Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Laurel Mill Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine Past Accepting new patients
Caldwell Emergency Medical Associates LLC Emergency Medicine Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Chesterfield-Marlboro LP Emergency Medicine Past Accepting new patients
Blue Ridge Emergency Medical Associates LLC Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9400906 NC Yes
Emergency Medicine Physician 207P00000X 01042330A IN

Addresses

Primary practice location

720 Malcolm Blvd
Valdese, NC 28690

Mailing address

8801 Bluff Pointe CT
Raleigh, NC 27615-4133
Phone (919) 676-9819

Other identifiers

IdentifierTypeStateIssuer
100387590MedicaidIN
N00907MedicaidSC
13091OtherNCBCBS
000000518336OtherINBCBS
8913091MedicaidNC

Other providers in Valdese, NC

All providers in Valdese, NC · Emergency Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.