Individual provider Active NPI

Luis Palomino, MD

  • Internal Medicine Physician
  • Jacksonville, NC
National Provider Identifier
1881127645
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2021-02309 Issued in NC
Practice address
317 Western Blvd
Jacksonville, NC 28546-6379
Phone
(910) 577-2345
NPI assigned
Apr 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 37787 AL
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 2021-02309 NC Primary

Addresses

Primary practice location

317 Western Blvd
Jacksonville, NC 28546-6379

Mailing address

1000 Novus LN Apt 332
Chapel Hill, NC 27514-6024
Phone (713) 534-3082

Other practice location 1

625 19th St S
Birmingham, AL 35233-1900
Phone (205) 934-2490

Other practice location 2

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230706000064 NC Practitioner - Internal Medicine 6608153291 Reassigns benefits to 3 organizations
I20240605000596 AL Practitioner - Internal MedicinePractitioner - Hospitalist 6608153291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Alabama School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

121 N 20TH St
Suite 6
Opelika, AL 36801-5454
Phone (334) 749-3385

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37787ALMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Lab. Current Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince May 23, 2023 Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Jul 17, 2023 Accepting new patients
Apogee Medical Group North Carolina Hospitalist CurrentSince Jan 1, 2024 Accepting new patients
Internal Medicine Associates P.C. Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
The East Alabama Health Care Authority Past Accepting new patients

Locations

121 N 20th St
Ste 6
Opelika, AL 36801
Phone (334) 749-3385

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

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 and National Provider Directory roles.

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": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1881127645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NOVUS LN APT 332",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146024",
            "telephone_number": "713-534-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466379",
            "telephone_number": "910-577-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-2490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Princeton Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111303",
            "country_code": "US",
            "telephone_number": "205-783-7970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALOMINO",
        "first_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-09",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "37787",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2021-02309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.