Individual provider Active NPI

Kevin C Jones, DO

  • Cardiovascular Disease Physician
  • Plainview, TX
National Provider Identifier
1003881343
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
Q3531 Issued in TX
Practice address
2504 Xenia St
Plainview, TX 79072
Phone
(806) 291-5145
Fax
(806) 291-5122
NPI assigned
Feb 21, 2006
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2004035257 MO
Cardiovascular Disease Physician 207RC0000X Q3531 TX Primary

Addresses

Primary practice location

2504 Xenia St
Plainview, TX 79072

Mailing address

2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844

Other identifiers 6

IdentifierTypeStateIssuer
04237536MedicaidNM
8FC185OtherTXBCBS
412013YKT8OtherTXMEDICARE
421026100OtherTXFIRSTCARE
346376201MedicaidTX
P01534354OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529001299 TX Practitioner - Cardiovascular Disease (Cardiology) 1153359997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844

2502 Xenia St
Plainview, TX 79072-1818
Phone (806) 296-7881

2504 Xenia St
Plainview, TX 79072-1818
Phone (806) 291-5145

2508 Xenia St
Plainview, TX 79072-1818
Phone (806) 291-5145

2601 Dimmitt Rd
Plainview, TX 79072-1833
Phone (806) 296-5531

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
Q3531TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group CurrentSince Jun 15, 2015 Accepting new patients
Covenant Medical Group CurrentSince Jun 15, 2015 Accepting new patients
Methodist Hospital Plainview Texas Past Accepting new patients

Locations

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

3420 22nd Pl
Lubbock, TX 79410
Phone (806) 725-1800

2504 Xenia St
Plainview, TX 79072
Phone (806) 291-5145

2508 Xenia St
Ste 104
Plainview, TX 79072

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b1ca1c78-3ab5-405e-b1b1-fc89e2712a56/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1003881343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NASHVILLE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101105",
            "telephone_number": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 XENIA ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "79072",
            "telephone_number": "806-291-5145",
            "fax_number": "806-291-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KEVIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2004035257",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q3531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04237536",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8FC185",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "412013YKT8",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "421026100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346376201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01534354",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, TX

Sources for this page

Verify at the official NPI Registry.