Rafael A Lugo, MD - Medicare General Surgery in Shenandoah, TX

Rafael A Lugo, MD is a medicare enrolled "Surgery" physician in Shenandoah, Texas. He went to Ponce School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as General Surgery. His current practice location is 17189 I 45 S Ste 275, Shenandoah, Texas. You can reach out to his office (for appointments etc.) via phone at (832) 377-5846.

Rafael A Lugo is licensed to practice in Texas (license number K8309) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245224492.

Contact Information

Rafael A Lugo, MD
17189 I 45 S Ste 275,
Shenandoah, TX 77385-3326
(832) 377-5846
(888) 416-9722

Map and Direction




Physician's Profile

Full NameRafael A Lugo
GenderMale
SpecialityGeneral Surgery
Experience31 Years
Location17189 I 45 S Ste 275, Shenandoah, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rafael A Lugo attended and graduated from Ponce School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1245224492
  • Provider Enumeration Date: 09/02/2005
  • Last Update Date: 08/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860517588
  • Enrollment ID: I20100917000183

Medical Identifiers

Medical identifiers for Rafael A Lugo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245224492NPI-NPPES
1245224492OtherTXBLUE CROSS BLUE SHIELD
87670ZOtherTXHMO BLUE
8F6737OtherTXBCBS
020053268OtherTXRAILROAD MEDICARE
031168003MedicaidTX
031168004MedicaidTX
031168005MedicaidTX
5363822OtherTXAETNA
031168002MedicaidTX
401312001MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery K8309 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Houston Methodist The Woodlands HospitalThe woodlands, TXHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rafael A Lugo allows following entities to bill medicare on his behalf.
Entity NameRafael A Lugo Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306395793
PECOS PAC ID: 9931483666
Enrollment ID: O20170224001184

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rafael A Lugo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rafael A Lugo, MD
Po Box 131330,
Spring, TX 77393-1330

Ph: (832) 377-5846
Rafael A Lugo, MD
17189 I 45 S Ste 275,
Shenandoah, TX 77385-3326

Ph: (832) 377-5846

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.