Individual provider Active NPI

Lum Ntumngia Nyindem, M.D.

  • Internal Medicine Physician
  • Gastonia, NC
National Provider Identifier
1851682405
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2016-02012 Issued in NC
Practice address
1867 Remount Rd
Gastonia, NC 28054-7401
Phone
(704) 854-8799
Fax
(704) 854-8803
NPI assigned
Apr 29, 2011
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2016-02012 NC Primary
Internal Medicine Physician 207R00000X D0078364 MD

Addresses

Primary practice location

1867 Remount Rd
Gastonia, NC 28054-7401

Mailing address

1867 Remount Rd
Gastonia, NC 28054-7401
Phone (704) 854-8799

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
I20170418000714 NC Practitioner - Internal Medicine 9133340722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0078364MDMDInternal Medicine Physician
2016-02012NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Internal Medicine Current Accepting new patients
Caromont Medical Group Inc Internal Medicine CurrentSince Mar 13, 2017 Accepting new patients
Caromont Medical Group Inc CurrentSince Mar 13, 2017 Accepting new patients
Caromont Medical Group Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

Organizations & group practices 6

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 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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1851682405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 REMOUNT RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547401",
            "telephone_number": "704-854-8799",
            "fax_number": "704-854-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 REMOUNT RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547401",
            "telephone_number": "704-854-8799",
            "fax_number": "704-854-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYINDEM",
        "first_name": "LUM",
        "middle_name": "NTUMNGIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2016-02012",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0078364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.