Active NPI
Raul Nelson Lugo, M.D.
- Surgery Physician
- Clovis, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD2022-1422
- Practice address
- 2421 W 21St St
Ste B
Clovis, NM 88101 - Phone
- (757) 697-5775
- Fax
- (575) 742-7856
- NPI assigned
- Jan 25, 2006
- Last updated
- Feb 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD2022-1422 | NM | Primary |
Addresses
Primary practice location
2421 W 21St St
Ste B
Clovis, NM 88101
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (575) 769-7577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- New York Medical College, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2421 W 21St St
Suite B
Clovis, NM 88101-2006
Phone (575) 769-7577
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 47 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 49 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Surgery | Current | Accepting new patients |
| Warren Memorial Hospital, Inc. | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Surgery | Current | Accepting new patients |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Surgery | Current | Accepting new patients |
| Warren Memorial Hospital, Inc. | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
120 Charles Rollins Rd
Ste 206
Henderson, NC 27536
Phone (252) 433-0430
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2421 W 21st St
Ste B
Clovis, NM 88101
Phone (575) 742-7824
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300
200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561
220 Campus Blvd
Ste 100
Winchester, VA 22601
240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
Interoperability endpoints
- rlugo221841@direct.phs.org
Organizations & group practices 13
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Surgery
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- Critical Access Hospital
- Luray, VA
- NPI 1326040684
-
- Surgery Physician
- Woodstock, VA
- NPI 1407357015
-
dba Valley Health Shenandoah Memorial Hospital Multispecialty Clinic
- Rural Health Clinic/Center
- Woodstock, VA
- NPI 1952417735
-
dba Warren Memorial Hospital
- Emergency Medicine Physician
- Front Royal, VA
- NPI 1164442281
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Maria Parham GI Associates
- Internal Medicine Physician
- Louisburg, NC
- NPI 1306321252
Surgery
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
-
dba Valley Health Shenandoah Medical Associates
- Rural Health Clinic/Center
- Front Royal, VA
- NPI 1083236970
-
- Critical Access Hospital
- Woodstock, VA
- NPI 1033166442
-
- General Acute Care Hospital
- Front Royal, VA
- NPI 1427085232
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Plains Regional Medical Center
- Rural Acute Care Hospital
- Clovis, NM
- NPI 1629053509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738972800000",
"number": "1801866322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PHS PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "575-769-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 W 21ST ST",
"address_2": "STE B",
"city": "CLOVIS",
"state": "NM",
"postal_code": "88101",
"telephone_number": "757-697-5775",
"fax_number": "575-742-7856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO",
"first_name": "RAUL",
"middle_name": "NELSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2025-02-08",
"certification_date": "2025-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "MD2022-1422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.