Active NPI
Ahmad Sabouni, M.D.
- Neurology Physician
- Lubbock, TX
National Provider Identifier
1124199187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M4503
- Practice address
- 4602 67TH St
Lubbock, TX 79414-5002 - Phone
- (806) 993-7040
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M4503 | TX | Primary |
Addresses
Primary practice location
4602 67TH St
Lubbock, TX 79414-5002
Mailing address
4602 67TH St
Lubbock, TX 79414-5002
Phone (806) 993-7040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193653601 | Medicaid | TX | |
| 81474245 | Other | NM | NM MEDICAID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4602 67TH St
Lubbock, TX 79414-5002
Phone (806) 993-7040
Hospital & facility affiliations
- Excelacare Home Health
- University Medical Center
- Covenant Medical Center
- Plains Regional Medical Center
- Lamb Healthcare Center
- Covenant Childrens Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4503 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Texas Neurology Clinic LLC | Current | Accepting new patients | |
| Mesquite Neurology Clinic PA | Neurology | Past | Accepting new patients |
Locations
4602 67th St
Lubbock, TX 79414
Phone (806) 725-4115
Interoperability endpoints
- ahmad.sabouni@direct.myteamcare.com
- ahmad.sabouni@wtnc.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/BECFCD/Endpoint/BECFCD
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Lubbock, TX
- NPI 1407529704
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
- General Acute Care Hospital
- Littlefield, TX
- NPI 1700854288
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
-
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
-
- Home Health Agency
- Clovis, NM
- NPI 1134174063
-
- Rural Acute Care Hospital
- Clovis, NM
- NPI 1629053509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679788800000",
"number": "1124199187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 67TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794145002",
"telephone_number": "806-993-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 67TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794145002",
"telephone_number": "806-993-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABOUNI",
"first_name": "AHMAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2023-03-26",
"certification_date": "2023-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "M4503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193653601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM MEDICAID",
"identifier": "81474245",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; 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.