Individual provider Active NPI

Douglas Henry Wright, M.D.

  • Diagnostic Radiology Physician
  • Lubbock, TX
National Provider Identifier
1164428249
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J0378 Issued in TX
Practice address
4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone
(806) 744-7223
Fax
(806) 740-3325
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J0378 TX Primary

Addresses

Primary practice location

4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520

Mailing address

4609 102ND St
Lubbock, TX 79424-7406
Phone (806) 792-2767

Other practice location 1

4005 24th St
Lubbock, TX 79410-1835
Phone (806) 792-2767

Other practice location 2

2601 Dimmitt Rd
Plainview, TX 79072-1833
Phone (806) 744-7223

Other practice location 3

1900 College Ave
Levelland, TX 79336-6508
Phone (806) 744-7223

Other identifiers 6

IdentifierTypeStateIssuer
127327100OtherTXFIRSTCARE
300109574OtherRAILROAD MEDICARE
87470YOtherTXBLUE CROSS
1097361OtherFIRST HEALTH
124843704MedicaidTX
F5483MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050215000438 TX Practitioner - Diagnostic Radiology 0840197521 Reassigns benefits to 3 organizations
I20150106000307 NM Practitioner - Diagnostic Radiology 0840197521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Clinic of LubbockGroup PAC ID 5597768101, 44 clinicians

Practice addresses (Care Compare)

2601 Dimmitt Rd
Plainview, TX 79072-1833
Phone (806) 296-5531

Hospital & facility affiliations

  • Covenant Hospital Plainview Hospital, Plainview, TX, CCN 450539
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
  • Covenant Hospital Levelland Hospital, Levelland, TX, CCN 450755
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • W J Mangold Memorial Hospital Hospital, Lockney, TX, CCN 451337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0379TXMDOtolaryngology Physician
J0378TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Grace Clinic of Lubbock CurrentSince Oct 1, 2022 Accepting new patients
Grace Clinic of Lubbock Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients

Locations

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

3525 19th St
Lubbock, TX 79410
Phone (806) 687-8346

4515 Marsha Sharp Fwy
Lubbock, TX 79407
Phone 80674472232432

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

Organizations & group practices 5

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 7

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1164428249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 102ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247406",
            "telephone_number": "806-792-2767",
            "fax_number": "806-740-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 MARSHA SHARP FWY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072520",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4005 24th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101835",
            "country_code": "US",
            "telephone_number": "806-792-2767",
            "fax_number": "888-618-8588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Dimmitt Rd",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "TX",
            "postal_code": "790721833",
            "country_code": "US",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 College Ave",
            "address_purpose": "LOCATION",
            "city": "Levelland",
            "state": "TX",
            "postal_code": "793366508",
            "country_code": "US",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DOUGLAS",
        "middle_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J0378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "127327100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300109574",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "87470Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1097361",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124843704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F5483",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.