Individual provider Active NPI

Raymond R Lupkas Jr., MD

  • Anesthesiology Physician
  • Pinehurst, NC
National Provider Identifier
1528047701
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
9401442 Issued in NC
Practice address
155 Memorial Dr
Anesthesia Dept
Pinehurst, NC 28374-8708
Phone
(910) 215-1000
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 9401442 NC Primary

Addresses

Primary practice location

155 Memorial Dr
Anesthesia Dept
Pinehurst, NC 28374-8708

Mailing address

PO Box 890178
Charlotte, NC 28289-0178
Phone (706) 860-2701

Other identifiers 5

IdentifierTypeStateIssuer
050041120OtherNCRR MEDICARE
75933OtherNCMEDCOST
8953257MedicaidNC
53257OtherNCBCBS OF NORTH CAROLINA
N60874MedicaidSC

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
I20051109001024 NC Practitioner - Anesthesiology 7618995440 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Hahnemann University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians

Practice addresses (Care Compare)

100 Airport Rd
Kinston, NC 28501-1604
Phone (252) 522-7000

Hospital & facility affiliations

  • Unc Lenoir Health Care Hospital, Kinston, NC, CCN 340027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology Current Accepting new patients
University of North Carolina at Chapel Hill Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Sarmc Anesthesia Specialist LLC CurrentSince Apr 25, 2022 Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Sep 7, 2020 Accepting new patients
Onslow Memorial Hospital, Inc. Anesthesiology CurrentSince Sep 7, 2020 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Oct 1, 2019 Accepting new patients
Ambulatory Anesthesia of Pinehurst, PA Anesthesiology Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

Organizations & group practices 7

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 2

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1528047701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890178",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890178",
            "telephone_number": "706-860-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEMORIAL DR",
            "address_2": "ANESTHESIA DEPT",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748708",
            "telephone_number": "910-215-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPKAS",
        "first_name": "RAYMOND",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "9401442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050041120",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "75933",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8953257",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "53257",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N60874",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.