Active NPI
William Russell Fell, MD
- Otolaryngology Physician
- Lubbock, TX
National Provider Identifier
1134112865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- J5090
- Practice address
- 3802 22ND
#100
Lubbock, TX 79410 - Phone
- (806) 792-5331
- Fax
- (806) 792-9417
- NPI assigned
- Aug 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 4303 | AK | |
| Otolaryngology Physician | 207Y00000X | J5090 | TX | Primary |
Addresses
Primary practice location
3802 22ND
#100
Lubbock, TX 79410
Mailing address
3802 22ND
#100
Lubbock, TX 79410
Phone (806) 792-5331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD03211 | Medicaid | AK | |
| 328541301 | Medicaid | TX |
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
- Otolaryngology
- Education
- Oregon Health Sciences University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3802 22ND St
Suite 100
Lubbock, TX 79410-1148
Phone (806) 792-5331
Hospital & facility affiliations
- Covenant Medical Center
- Covenant Childrens Hospital
- Nor-Lea Hospital District
- Covenant Hospital Plainview
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4303 | AK | MD | Otolaryngology Physician |
| J5090 | TX | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas F. Neal, M.D., Stan E. Potocki, M.D., Professional Association | Otolaryngology | Current | Accepting new patients |
| Bayhealth Medical Center, Inc | Otolaryngology | Past | Accepting new patients |
Locations
3802 22nd St
Ste 100
Lubbock, TX 79410
Phone (806) 792-5331
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.
-
- Otolaryngology Physician
- Lubbock, TX
- NPI 1215983788
-
- Colon & Rectal Surgery Physician
- Dover, DE
- NPI 1285809509
Otolaryngology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
-
- General Acute Care Hospital
- Plainview, TX
- NPI 1073580726
-
- Ambulatory Surgical Clinic/Center
- Plainview, TX
- NPI 1174630198
Hospital
-
- Critical Access Hospital
- Lovington, NM
- NPI 1881630036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1134112865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802 22ND",
"address_2": "#100",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79410",
"telephone_number": "806-792-5331",
"fax_number": "806-792-9417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802 22ND",
"address_2": "#100",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79410",
"telephone_number": "806-792-5331",
"fax_number": "806-792-9417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELL",
"first_name": "WILLIAM",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-29",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AK",
"license": "4303",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "J5090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD03211",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "328541301",
"state": "TX"
}
],
"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 24, 2016; 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.