Individual provider Active NPI

Rushad Darius Shroff, M.D.

  • Legal Medicine
  • Lumberton, NC
National Provider Identifier
1982603775
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
2001-00781 Issued in NC
Practice address
402 N Pine St
Lumberton, NC 28358-5563
Phone
(910) 739-1666
Fax
(910) 739-6822
NPI assigned
Jul 14, 2005
Last updated
Oct 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 2001-00781 NC Primary

Addresses

Primary practice location

402 N Pine St
Lumberton, NC 28358-5563

Mailing address

402 N Pine St
Lumberton, NC 28358-5563
Phone (910) 739-1666

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
I20051229000520 NC Practitioner - Internal Medicine 2365464609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

100 Duke Health Cary PL
Suite 130
Cary, NC 27519-6760
Phone (919) 684-2445

101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678

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

5920 Sandy Forks Rd
Suite 100
Raleigh, NC 27609-3814
Phone (919) 845-2125

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001-00781NCMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physician, Inc. CurrentSince Jun 4, 2020 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 20, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 20, 2024 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Jun 4, 2020 Accepting new patients
Duke University Affiliated Physicians, Inc. Past Accepting new patients
Duke University Affiliated Physicians, Inc. Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 130
Cary, NC 27519
Phone (919) 385-4250

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

10211 Alm St
Ste 1100
Raleigh, NC 27617
Phone (919) 385-1160

5920 Sandy Forks Rd
Ste 100
Raleigh, NC 27609
Phone (919) 845-2125

7021 Harps Mill Rd
Ste 100
Raleigh, NC 27615
Phone (919) 576-8480

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • Direct secure messaging: rshroff5454@direct.medicine.duke.edu

Organizations & group practices 8

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1982603775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N PINE ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585563",
            "telephone_number": "910-739-1666",
            "fax_number": "910-739-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N PINE ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585563",
            "telephone_number": "910-739-1666",
            "fax_number": "910-739-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROFF",
        "first_name": "RUSHAD",
        "middle_name": "DARIUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": "2001-00781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.