Individual provider Active NPI

Lee Thomas Shuping, M.D., MPT

  • Physical Medicine & Rehabilitation Physician
  • Chapel Hill, NC
National Provider Identifier
1801914981
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2015-00533 Issued in NC
Practice address
1807 Fordham Blvd
Chapel Hill, NC 27514-2200
Phone
(984) 974-9747
Fax
(984) 974-9786
NPI assigned
Mar 27, 2007
Last updated
Oct 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0116023402 VA
Physical Therapist 225100000X 10443 NC
Physical Medicine & Rehabilitation Physician 208100000X 2015-00533 NC Primary

Addresses

Primary practice location

1807 Fordham Blvd
Chapel Hill, NC 27514-2200

Mailing address

1807 Fordham Blvd
Chapel Hill, NC 27514-2200
Phone (984) 974-9747

Other identifiers 2

IdentifierTypeStateIssuer
067X8OtherNCBLUE CROSS
7212079MedicaidNC

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
I20150908001228 NC Practitioner - Physical Medicine and Rehabilitation 0941371686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10443NCMDEndodontist
2015-00533NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Physical Medicine & Rehabilitation CurrentSince Jul 13, 2015 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

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

101 Manning Dr
Rm 1183
Chapel Hill, NC 27514

1350 Raleigh Rd
Chapel Hill, NC 27517
Phone (984) 974-4110

1807 Fordham Blvd
Chapel Hill, NC 27514
Phone (919) 595-9641

Organizations & group practices 2

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 4

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1801914981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 FORDHAM BLVD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142200",
            "telephone_number": "984-974-9747",
            "fax_number": "984-974-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 FORDHAM BLVD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142200",
            "telephone_number": "984-974-9747",
            "fax_number": "984-974-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPING",
        "first_name": "LEE",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "M.D., MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0116023402",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10443",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2015-00533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "067X8",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212079",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.