Active NPI
Monica Relvas, M.D.
- Pediatric Critical Care Medicine Physician
- Lubbock, TX
National Provider Identifier
1154425593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- N4032
- Practice address
- 4102 22ND PL
Lubbock, TX 79410-1122 - Phone
- (806) 725-0237
- Fax
- (806) 725-1030
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N4032 | TX | |
| Pediatrics Physician | 208000000X | 0101235593 | VA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | N4032 | TX | Primary |
Addresses
Primary practice location
4102 22ND PL
Lubbock, TX 79410-1122
Mailing address
2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09463 | Other | VA | GROUP PTAN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Pediatrics | Current | Accepting new patients |
| Covenant Medical Group | Current | Accepting new patients | |
| MCV Associated Physicians | Pediatrics | Past | Accepting new patients |
| Methodist Children'S Hospital | Past | Accepting new patients |
Locations
4102 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0237
3606 21st St
Ste 103
Lubbock, TX 79410
Phone (806) 725-4425
2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228
3420 22nd Pl
Lubbock, TX 79410
Phone (806) 725-1800
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Abernathy, TX
- NPI 1538412895
-
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1154425593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 NASHVILLE AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101105",
"telephone_number": "806-725-5228",
"fax_number": "806-723-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 22ND PL",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101122",
"telephone_number": "806-725-0237",
"fax_number": "806-725-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RELVAS",
"first_name": "MONICA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N4032",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101235593",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "N4032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C09463",
"state": "VA"
}
],
"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 Oct 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.