Active NPI
Saif Abdel Raouf a Bushnaq, M.D
- Vascular Neurology Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- S9273
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- University Medical Center
- Medical Center Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Neurology | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Covenant Medical Group | Current | 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
- 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.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1376598904
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Rural Health Clinic/Center
- Abernathy, TX
- NPI 1538412895
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Neurology Physician
- Lubbock, TX
- NPI 1518916808
-
- Psychiatry Physician
- Lubbock, TX
- NPI 1881643179
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
Hospital
-
- General Acute Care Hospital
- Odessa, TX
- NPI 1740273994
-
- 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.