Individual provider Active NPI

Raul Nelson Lugo, M.D.

  • Surgery Physician
  • Clovis, NM
National Provider Identifier
1801866322
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD2022-1422 Issued in NM
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NM3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20060928000205 NC Practitioner - General SurgeryPractitioner - Surgical Oncology 7911995857 Reassigns benefits to 1 organization
I20220225000116 VA Practitioner - General Surgery 7911995857 Reassigns benefits to 4 organizations
I20221130000252 NM Practitioner - General Surgery 7911995857 Reassigns benefits to 1 organization

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
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

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

ProcedureNumber of procedures
Colonoscopy47
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux49
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. CurrentSince Mar 3, 2022 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Mar 3, 2022 Accepting new patients
Presbyterian Healthcare Services Surgery CurrentSince Dec 5, 2022 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Mar 3, 2022 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Dec 5, 2022 Accepting new patients
DLP Maria Parham Physician Practices LLC Surgery CurrentSince Jun 22, 2022 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Mar 3, 2022 Accepting new patients
Shenandoah Memorial Hospital, Inc. Surgery CurrentSince Apr 13, 2022 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Mar 3, 2022 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Jun 22, 2022 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Mar 3, 2022 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.