Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Cornelio Roderick Ruperto, MD

Individual provider Psychiatry Physician · NPI 1316065204

Dr. Cornelio Roderick Ruperto, MD is a Psychiatry Physician in Lewisville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6620 Shallowford Rd Ste 200
Lewisville, NC 27023-9504
Phone: (336) 945-0345
Fax: (336) 945-0342
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 2006-01732 (NC)
Psychiatry Physician Taxonomy 2084P0800X · Licence 2006-01732 (NC)

Record details

NPI number1316065204
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESOctober 25, 2020
Certification dateSeptember 29, 2020

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