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LUBNA SIAL ELAHI MD
NPI 1225265531
Pediatrics in Charlotte, NC

Active since June 12, 2009PECOS Enrolled
5727 PROSPERITY CROSSING DR, STE 1500, CHARLOTTE, NC 28269(704) 863-9910 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 57 more (60 updates tracked since 2018).

About Lubna Sial Elahi Md NPPES

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

LUBNA SIAL ELAHI MD (NPI 1225265531) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2012-01611) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1225265531
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLUBNA SIAL ELAHICredential: MD
Location Address5727 PROSPERITY CROSSING DR, STE 1500Charlotte, NC 28269-2206
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 863-9910
Sole ProprietorNo
Enumeration DateJune 12, 2009
Last NPPES UpdateJuly 15, 202460 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
✔ NPI 1225265531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2012-01611
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5727 PROSPERITY CROSSING DR, Charlotte, NC 28269
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Secondary Practice Locations 4

Location 14501 Cameron Valley Pkwy, Ste 100Charlotte, NC 28211-4297 · Phone (704) 367-7400
Location 26235 Blakeney Park Dr, Ste 100Charlotte, NC 28277-5658 · Phone (704) 512-5060
Location 313640 Steelecroft Pkwy, Ste 210Charlotte, NC 28278-7565 · Phone (704) 512-6100
Location 47800 Providence Rd, Ste 203Charlotte, NC 28226-2952 · Phone (704) 512-2610

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lubna Sial Elahi 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lubna Elahi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
Same address
Family Medicine
5727 PROSPERITY CROSSING DR, STE 1100
Charlotte, NC 28269
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1497762686 (704) 863-9930
University Pediatrics
Same address
Pediatrics
5727 PROSPERITY CROSSING DR, STE 1500
Charlotte, NC 28269
  • Reassigned Medicare billing, North Carolina enrollment
  • 30 clinicians in this Medicare group
NPI 1841526837 (704) 863-9910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

REBECCA LYNN TAKAHASHI MD
Pediatrics
5727 PROSPERITY CROSSING DR
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9910
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
5727 PROSPERITY CROSSING DR, STE 2200
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9830
JOSE GUADALUPE DELGADO-ROBLES MD
Family Medicine
5727 PROSPERITY CROSSING DR, STE 2200
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9830
ASHLEY HERRMANN HAM DO
Pediatrics
5727 PROSPERITY CROSSING DR, STE 1500
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9910
VICKI STARLENE SHIPMAN FNP
Nurse Practitioner (Family)
5727 PROSPERITY CROSSING DR, STE 1100
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9930
AJIRI S. BARNES MD
Family Medicine
5727 PROSPERITY CROSSING DR, STE 2200
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9830
REBECCA LYNN WILSON FNP
Nurse Practitioner
5727 PROSPERITY CROSSING DR, STE 1100
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9930
ELMER STAMPER JR. PA
Physician Assistant
5727 PROSPERITY CROSSING DR, STE 1100
CHARLOTTE, NC 28269
Mecklenburg County (704) 863-9930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lubna Elahi's NPI number?

The NPI number for Lubna Elahi is 1225265531. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Where is Lubna Elahi located?

Lubna Elahi practices at 5727 Prosperity Crossing Dr Ste 1500, Charlotte, NC 28269. The listed phone number is (704) 863-9910.

What is Lubna Elahi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lubna Elahi enrolled in Medicare?

Yes. Lubna Elahi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lubna Elahi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lubna Elahi reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Charlotte, NC) and University Pediatrics (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lubna Elahi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lubna Elahi accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list Lubna Elahi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lubna Elahi was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.