Individual provider Active NPI

Courtney Lewis Bui, MD

  • Radiation Oncology Physician
  • Raleigh, NC
National Provider Identifier
1992861751
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2012-01591 Issued in NC
Practice address
4420 Lake Boone TRL Ste 120
Raleigh, NC 27607-7505
Phone
(919) 784-3018
NPI assigned
Dec 28, 2006
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X D69615 MD
Radiation Oncology Physician 2085R0001X MT182964 PA
Radiation Oncology Physician 2085R0001X MD427420 PA
Radiation Oncology Physician 2085R0001X 2012-01591 NC Primary

Addresses

Primary practice location

4420 Lake Boone TRL Ste 120
Raleigh, NC 27607-7505

Mailing address

4420 Lake Boone TRL Ste 120
Raleigh, NC 27607-7505
Phone (919) 784-3018

Other practice location 1

11065 Little Patuxent Pkwy
Columbia, MD 21044-2998
Phone (410) 740-9300

Other identifiers 1

IdentifierTypeStateIssuer
D69615OtherMDSTATE LICENSE

Other names 1

  • Courtney Bain Lewis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbui77224@direct.UNC.nchie.net Direct

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
I20121126000336 NC Practitioner - Radiation Oncology 4587756648 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of North Carolina at Chapel Hill School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnston Radiation Oncology LLCGroup PAC ID 7012048838, 19 clinicians
Smithfield Radiation Oncology LLCGroup PAC ID 6709835846, 18 clinicians

Practice addresses (Care Compare)

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

2076 Veterans Pkwy
Suite 120
Clayton, NC 27520-8343
Phone (919) 585-8550

514 N Brightleaf Blvd
Suite 1200
Smithfield, NC 27577-4486
Phone (919) 209-3555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D69615MDMDRadiation Oncology Physician
MD427420PAMDRadiation Oncology Physician
MT182964PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Current Accepting new patients
Rex Hospital, Inc CurrentSince Jan 1, 2020 Accepting new patients
Smithfield Radiation Oncology, LLC Radiation Oncology CurrentSince Jan 1, 2013 Accepting new patients
Rex Hospital Inc Radiation Oncology CurrentSince Jan 1, 2020 Accepting new patients
Johnston Radiation Oncology LLC Radiation Oncology CurrentSince Jan 1, 2013 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Sep 30, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Park Ophthalmology Past Accepting new patients
Advanced Radiation Oncology Associates, PC Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

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

2076 Veterans Pkwy
Ste 120
Clayton, NC 27520
Phone (919) 585-8550

117 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 334-3900

2901 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 784-3105

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

4420 Lake Boone Trl
Fl 1
Raleigh, NC 27607

4420 Lake Boone Trl
Ste 102
Raleigh, NC 27607
Phone (919) 784-1473

4420 Lake Boone Trl
Ste 120
Raleigh, NC 27607
Phone (919) 784-3018

514 N Brightleaf Blvd
Ste 120
Smithfield, NC 27577

514 N Brightleaf Blvd
Ste 1200
Smithfield, NC 27577
Phone (919) 209-3555

Organizations & group practices 10

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1992861751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-3018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11065 Little Patuxent Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210442998",
            "country_code": "US",
            "telephone_number": "410-740-9300",
            "fax_number": "410-740-9301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUI",
        "first_name": "COURTNEY",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D69615",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MT182964",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD427420",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2012-01591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D69615",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbui77224@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trl Ste 120",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "LEWIS",
            "middle_name": "BAIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.