Individual provider Active NPI

James Michael Fay, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lubbock, TX
National Provider Identifier
1083818645
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
N1631 Issued in TX
Practice address
4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone
(806) 744-7223
Fax
(806) 740-3325
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP1-0022049 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X N1631 TX Primary

Addresses

Primary practice location

4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520

Mailing address

2804 N Loop 289
Lubbock, TX 79415-1410
Phone (806) 744-7223

Other identifiers 1

IdentifierTypeStateIssuer
2790065021OtherMYUTMB 2790065021-COMMERCIAL NUMBER

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
I20090807000375 TX Practitioner - AnesthesiologyPractitioner - Pain Management 8729131735 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Republic Spine and Pain, PAGroup PAC ID 9335333863, 14 clinicians

Practice addresses (Care Compare)

1623 Rivery Blvd
Georgetown, TX 78628-3677
Phone (512) 219-8787

800 Crystal Falls Pkwy
Unit 5
Leander, TX 78641-3671
Phone (512) 219-8787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.63 of 100Reported as individual
Quality
86.52
Improvement activities
40
Cost
70.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0022049TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Aug 1, 2009 Accepting new patients
Utmb Faculty Group Practice Anesthesiology CurrentSince Jun 11, 2015 Accepting new patients
Republic Spine and Pain, P.a. Anesthesiology CurrentSince Nov 1, 2017 Accepting new patients

Locations

13617 Caldwell Dr
Ste 100
Austin, TX 78750
Phone (512) 219-8787

9707 Anderson Mill Rd
Ste 230
Austin, TX 78750
Phone (512) 219-8787

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1623 Rivery Blvd
Georgetown, TX 78628
Phone (512) 219-8787

800 Crystal Falls Pkwy
Unit 5
Leander, TX 78641
Phone (512) 219-8787

2412 50th St
Lubbock, TX 79412
Phone (806) 788-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18125/brand/1/csg/1/fhir/r4
  • Direct secure messaging: james.fay.1@18125.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1083818645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 N LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794151410",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 MARSHA SHARP FWY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072520",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP1-0022049",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "N1631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 2790065021-COMMERCIAL NUMBER",
            "identifier": "2790065021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.