NPIMap

Individual provider Active NPI

John Francis Lue Jr., M.D.

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1508868688
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9801364 Issued in NC
Practice address
3850 Ed Drive
Ste 100
Raleigh, NC 27612-6478
Phone
(919) 788-9588
Fax
(919) 645-1640
NPI assigned
Jun 2, 2005
Last updated
Jan 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9801364 NC Primary

Addresses

Primary practice location

3850 Ed Drive
Ste 100
Raleigh, NC 27612-6478

Mailing address

3850 Ed Drive
Ste 100
Raleigh, NC 27612-6478
Phone (919) 788-9588

Other identifiers 1

IdentifierTypeStateIssuer
8911748MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000880 NC Practitioner - Internal Medicine 2163487216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Internal Medicine Associates of Raleigh, PAGroup PAC ID 4981644507, 8 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

3850 Ed Dr
Suite 100
Raleigh, NC 27612-8037
Phone (919) 788-9588

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83617NCMDRegistered Nurse
9801364NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Raleigh, PA Internal Medicine CurrentSince Apr 1, 2002 Accepting new patients
Liberty Healthcare Group LLC Past Accepting new patients
Liberty Healthcare Group LLC Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

3850 Ed Dr
#100
Raleigh, NC 27612
Phone (919) 645-1644

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jlue@direct.imar.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Springbrook Nursing and Rehabilitation CenterClayton, NC, CCN 345569 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF		 Feb 16, 2017
Feb 16, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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

Hospital & facility affiliations 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1508868688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 ED DRIVE",
            "address_2": "STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126478",
            "telephone_number": "919-788-9588",
            "fax_number": "919-645-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 ED DRIVE",
            "address_2": "STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126478",
            "telephone_number": "919-788-9588",
            "fax_number": "919-645-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUE",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9801364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911748",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.