Kaiser Reni Tarafdar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L7578 Issued in TX

Practice address

4102 24TH St
Ste 409
Lubbock, TX 79410-1806

Phone

(806) 725-7015

Fax

(806) 723-6128

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1988

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)

Hospital & facility affiliations

• Calvert Home Health Care, LLC Home health agency, Lubbock, TX, CCN 677109
• Beyondfaith Homecare & Rehab LLC Home health agency, Lubbock, TX, CCN 679374
• Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
• Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
• Covenant Specialty Hospital Long-term care hospital, Lubbock, TX, CCN 452102

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Covenant Medical Group

  • Rural Health Clinic/Center
  • Abernathy, TX
  • NPI 1538412895
  NPD
• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365
  NPD (past)
• Quantum Emergency Physicians PA

  • Hospitalist Physician
  • Abilene, TX
  • NPI 1215010079

  Internal Medicine

  NPD (past)

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

• Beyondfaith Homecare & Rehab LLC

  • Home Health Agency
  • Lubbock, TX
  • NPI 1346247434
  Care Compare affiliation
• Calvert Home Health Care, LLC

  • Home Health Agency
  • Lubbock, TX
  • NPI 1801866306
  Care Compare affiliation
• Covenant Long-Term Care LLC

  • Long Term Care Hospital
  • Lubbock, TX
  • NPI 1013941780

  Long-term care hospital

  Care Compare affiliation
• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365
  Care Compare affiliation
• Methodist Children'S Hospital

  • Children's Hospital
  • Lubbock, TX
  • NPI 1437171568
  Care Compare affiliation

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1043273790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101314",
            "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": "4102 24TH ST",
            "address_2": "STE 409",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101806",
            "telephone_number": "806-725-7015",
            "fax_number": "806-723-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAFDAR",
        "first_name": "KAISER",
        "middle_name": "RENI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7578",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "20020178",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154617802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robertson Forchika Tankam, PHARMD
• Bertrand Tankouo Sandjong, PH.D., D(ABMM)
• Marcus Tanner, PH.D., LMFT-S
• Michelle Tanner, LPC-S, NCC
• Stephen Blake Tanner, M.D.
• Amber Elaine Tarango, APRN
• Michelle Leigh Tarango, RN
• James Tarbox, MD
• Michelle Babb Tarbox, MD
• Owatha Loye Tatum, PH.D., HCLD/CC(ABB)

• Internal Medicine Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.