Individual provider Active NPI

Rommel Perillo Lu, MD

  • Hematology & Oncology Physician
  • Raleigh, NC
National Provider Identifier
1558575738
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35337 Issued in SC
Practice address
117 Sunnybrook Rd
Raleigh, NC 27610-1827
Phone
(193) 343-9009
Fax
(919) 250-9280
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 35337 SC Primary

Addresses

Primary practice location

117 Sunnybrook Rd
Raleigh, NC 27610-1827

Mailing address

117 Sunnybrook Rd
Raleigh, NC 27610-1827
Phone (919) 334-3900

Other identifiers 3

IdentifierTypeStateIssuer
353370MedicaidSC
5916231MedicaidNC
SC04328552OtherSCMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlu264793@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101217000531 NC Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Pathology 7719011758 Reassigns benefits to 1 organization
I20130221000077 SC Practitioner - Hematology/OncologyPractitioner - Other (Physician) 7719011758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Pathology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2901 Blue Ridge Rd
Raleigh, NC 27607-6423
Phone (919) 784-3105

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Aug 1, 2016 Accepting new patients
Rex Hospital, Inc CurrentSince Jun 1, 2017 Accepting new patients
Rex Hospital Inc Current Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Aug 1, 2016 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Hematology & Oncology CurrentSince Aug 1, 2016 Accepting new patients
North Carolina MG, LLC Hematology & Oncology CurrentSince Nov 1, 2025 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Aug 1, 2016 Accepting new patients
Rex Hospital Inc Hematology & Oncology CurrentSince Jun 1, 2017 Accepting new patients
Rex Hospital Inc Past Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients
Rex Hospital Inc Past Accepting new patients
Ridgeline Physician Services, LLC Past Accepting new patients

Locations

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

300 Health Park Dr
Ste 220
Garner, NC 27529
Phone (919) 250-5955

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

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

4420 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 784-1097

2901 Blue Ridge Rd
Ste 203
Raleigh, NC 27607
Phone (919) 784-6060

2605 Blue Ridge Rd
Ste 190
Raleigh, NC 27607
Phone (919) 571-3661

2901 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 784-3105

11200 Governor Manly Way
Ste 102
Raleigh, NC 27614
Phone (919) 570-7550

117 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 334-3900

401 E Cheves St
Ste 201
Florence, SC 29506
Phone (843) 777-7951

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16609/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1558575738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SUNNYBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101827",
            "telephone_number": "919-334-3900",
            "fax_number": "919-250-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SUNNYBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101827",
            "telephone_number": "193-343-9009",
            "fax_number": "919-250-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "ROMMEL",
        "middle_name": "PERILLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "35337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353370",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916231",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "SC04328552",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlu264793@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "117 Sunnybrook Rd",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.