Active NPI
Lee Thomas Shuping, M.D., MPT
- Physical Medicine & Rehabilitation Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2015-00533
- 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, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067X8 | Other | NC | BLUE CROSS |
| 7212079 | Medicaid | NC |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10443 | NC | MD | Endodontist |
| 2015-00533 | NC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Physical Medicine & Rehabilitation | Current | 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.
-
dba UNC Faculty Physicians
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Physical Medicine & Rehabilitation
-
- Ophthalmology Physician
- Durham, NC
- NPI 1619150141
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UNC Hospitals Rehabilitation Center
- Rehabilitation Hospital Unit
- Hillsborough, NC
- NPI 1043304975
Inpatient rehabilitation facility
-
dba UNC Hospitals Psych Unit
- Psychiatric Hospital Unit
- Chapel Hill, NC
- NPI 1427142355
Inpatient rehabilitation facility
-
dba UNC Hospitals
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.