Individual provider Active NPI

Saif Abdel Raouf a Bushnaq, M.D

  • Vascular Neurology Physician
  • Lubbock, TX
National Provider Identifier
1124435987
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
S9273 Issued in TX
Practice address
3601 4TH St Stop 8321
Lubbock, TX 79430-2674
Phone
(806) 743-3849
NPI assigned
Jul 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X S9273 TX
Vascular Neurology Physician 2084V0102X S9273 TX Primary

Addresses

Primary practice location

3601 4TH St Stop 8321
Lubbock, TX 79430-2674

Mailing address

3601 4TH St Stop 8321
Lubbock, TX 79430-8321
Phone (806) 743-3849

Other practice location 1

3506 21st St Ste 400
Lubbock, TX 79410-1200
Phone (806) 725-4115

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address TTUneuro@direct.myteamcare.com Direct
Direct Messaging Address saif.bushnaq@direct.myteamcare.com Health Information Exchange (HIE)

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
I20210716000038 TX Practitioner - Neurology 0840411997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians
Texas Tech University Health Sciences Center LubbockGroup PAC ID 4385549674, 363 clinicians

Practice addresses (Care Compare)

3506 21St St
Suite 400
Lubbock, TX 79410-1212
Phone (806) 725-4115

3601 4TH St
Suite 3A105
Lubbock, TX 79430-8321
Phone (806) 743-2391

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Medical Center Hospital Hospital, Odessa, TX, CCN 450132

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 12, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Neurology CurrentSince Jul 12, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Covenant Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700

3601 4th St
Ste 3A105
Lubbock, TX 79430
Phone (806) 743-2391

3601 4th St
Fl 3
Lubbock, TX 79430
Phone (806) 743-2340

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

3601 4th St
Stop 8321
Lubbock, TX 79430
Phone (806) 743-2391

3506 21st St
Ste 400
Lubbock, TX 79410
Phone (806) 725-4115

Interoperability endpoints

  • Direct secure messaging: saif.bushnaq@direct.myteamcare.com

Organizations & group practices 7

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 8

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1124435987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STOP 8321",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794308321",
            "telephone_number": "806-743-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STOP 8321",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794302674",
            "telephone_number": "806-743-3849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3506 21st St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101200",
            "country_code": "US",
            "telephone_number": "806-725-4115",
            "fax_number": "806-723-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHNAQ",
        "first_name": "SAIF",
        "middle_name": "ABDEL RAOUF A",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "S9273",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "S9273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TTUneuro@direct.myteamcare.com",
            "affiliation": "N",
            "endpointDescription": "Neurology",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3601 4th St Stop 8321",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794302674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saif.bushnaq@direct.myteamcare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3601 4th St Stop 8321",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794302674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.