NPIMap

Individual provider Active NPI

Christopher Lane Shanklin, M.D.

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1154513182
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5920 Issued in TX
Practice address
7601 Quaker Ave
Lubbock, TX 79424-3360
Phone
(806) 725-9653
Fax
(806) 725-9600
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5920 TX Primary

Addresses

Primary practice location

7601 Quaker Ave
Lubbock, TX 79424-3360

Mailing address

11007 Quaker Ave
Lubbock, TX 79424-8317
Phone (806) 701-4040

Other practice location 1

1300 W Wall St
Midland, TX 79701-6625
Phone (432) 684-4488

Other identifiers 3

IdentifierTypeStateIssuer
67752381MedicaidNM
P00695621OtherTXRAILROAD MEDICARE
196357102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000251 TX Practitioner - Family Practice 6709951007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Lubbock Primary Care, PLLCGroup PAC ID 1951687946, 15 clinicians

Practice addresses (Care Compare)

11007 Quaker Ave
Lubbock, TX 79424-8317
Phone (806) 701-4040

Hospital & facility affiliations

  • Excelacare Home Health Home health agency, Lubbock, TX, CCN 677566
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5920TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Primary Care, PLLC Family Medicine CurrentSince Jan 20, 2017 Accepting new patients
Physician Management Services of Texas II, LLC Family Medicine PastSince Apr 1, 2017 Accepting new patients

Locations

11007 Quaker Ave
Lubbock, TX 79424
Phone (806) 548-6010

1300 W Wall St
Midland, TX 79701
Phone (432) 684-4488

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHJIAD
  • Direct secure messaging: chris.shanklin@direct.myteamcare.com

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.

Hospital & facility affiliations 9

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1154513182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11007 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248317",
            "telephone_number": "806-701-4040",
            "fax_number": "806-701-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243360",
            "telephone_number": "806-725-9653",
            "fax_number": "806-725-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 W Wall St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797016625",
            "country_code": "US",
            "telephone_number": "432-684-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKLIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2022-02-18",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67752381",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00695621",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196357102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.