DR. CORNELIO RODERICK RUPERTO MD
NPI 1316065204
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lewisville, NC

Active since March 27, 2007PECOS Enrolled
6620 SHALLOWFORD RD, SUITE 200, LEWISVILLE, NC 27023(336) 945-0345(336) 945-0342 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Cornelio Roderick Ruperto Md NPPES

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

DR. CORNELIO RODERICK RUPERTO MD (NPI 1316065204) is an individual child & adolescent psychiatry provider in Lewisville, North Carolina, licensed in North Carolina (2006-01732) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316065204
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. CORNELIO RODERICK RUPERTOCredential: MD
Location Address6620 SHALLOWFORD RD, SUITE 200Lewisville, NC 27023-9504
Mailing Address350 Pilot Ridge DrLewisville, NC 27023-8119 · (336) 945-0345 · Fax (336) 945-0342
Fax(336) 945-0342
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateOctober 25, 2020
NPPES CertifiedSeptember 29, 2020
NPI 1316065204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in NC · 2006-01732
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 2006-01732 (NC)
6620 SHALLOWFORD RD, Lewisville, NC 27023

Other Identifiers 1

Medicaid5900260NC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Cornelio Roderick Ruperto 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 3

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

Counselor (Professional)
6620 SHALLOWFORD RD, SUITE 200
LEWISVILLE, NC 27023
Counselor (Professional)
6620 SHALLOWFORD RD, SUITE 200
LEWISVILLE, NC 27023
Psychiatry & Neurology (Psychiatry)
6620 SHALLOWFORD RD, SUITE 200
LEWISVILLE, NC 27023

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 Cornelio Ruperto's NPI number?

The NPI number for Cornelio Ruperto is 1316065204. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Cornelio Ruperto located?

Cornelio Ruperto practices at 6620 Shallowford Rd Suite 200, Lewisville, NC 27023. The listed phone number is (336) 945-0345.

What is Cornelio Ruperto's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Cornelio Ruperto enrolled in Medicare?

Yes. Cornelio Ruperto is registered in the Medicare PECOS enrollment system.

What insurance does Cornelio Ruperto accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Cornelio Ruperto 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 Cornelio Ruperto was last updated on October 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.