RYAN HENRY LUPO MD
NPI 1033801402
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since May 24, 2023PECOS Enrolled
101 MANNING DRIVE 4061 BURNETT-WOMACK BLDG, CHAPEL HILL, NC 27599(919) 966-4653 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 1, 2023, May 24, 2023 (2 updates tracked since 2023).

About Ryan Henry Lupo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN HENRY LUPO MD (NPI 1033801402) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in North Carolina (RTL23-0586) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033801402
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN HENRY LUPOCredential: MD
Location Address101 MANNING DRIVE 4061 BURNETT-WOMACK BLDGChapel Hill, NC 27599-4220
Mailing Address101 Manning DrChapel Hill, NC 27514-4220 · (919) 966-4320
Sole ProprietorNo
Enumeration DateMay 24, 2023
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
NPI 1033801402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NC · RTL23-0586
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

101 MANNING DRIVE 4061 BURNETT-WOMACK BLDG, Chapel Hill, NC 27599

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ryan Henry Lupo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
101 MANNING DRIVE 4061 BURNETT-WOMACK BLDG
CHAPEL HILL, NC 27599

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033801402, enumerated as an "individual" on May 24, 2023.

The provider is located at 101 MANNING DRIVE 4061 BURNETT-WOMACK BLDG CHAPEL HILL, NC 27599 and the phone number is (919) 966-4653.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.