Andrew Shakespeare, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

Q2387 Issued in TX

Practice address

3621 22ND St
Lubbock, TX 79410

Phone

(806) 725-7455

Fax

(806) 725-8498

NPI assigned

Apr 18, 2013

Last updated

Dec 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Texas Tech University Health Science Center School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
• Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
• Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305
• Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
• Covenant Health Hobbs Hospital Hospital, Hobbs, NM, CCN 320065

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashakespeare2018580@oc.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Covenant Medical Group

  dba Covenant Family Healthcare Center

  • Rural Health Clinic/Center
  • Abernathy, TX
  • NPI 1538412895
  NPD
• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365
  Care Compare affiliation
• Lubbock Heritage Hospital, LLC.

  dba Grace Surgical Hospital

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1225289499
  Care Compare affiliation
• Methodist Children's Hospital

  dba Covenant Children's Hospital

  • Children's Hospital
  • Lubbock, TX
  • NPI 1437171568
  Care Compare affiliation
• Covenant Hospital Hobbs

  dba Covenant Health Hobbs Hospital

  • General Acute Care Hospital
  • Hobbs, NM
  • NPI 1215534466
  Care Compare affiliation
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1184068363",
    "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": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-725-7455",
            "fax_number": "806-725-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKESPEARE",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10047212",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "Q2387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Shadrach, RN
• Hayden Shaffer, MS., CF-SLP
• Arsalan Shah, MD
• Naurine Shah
• Sima Lina Shahbandar, MD
• Ibrahim Adly Shalaby, MD
• Sham S. Gandhi PHD MD PA
• Michel Shami, M.D.
• Christopher Lane Shanklin, M.D.
• Malory Shanks, FNP-C

• Pulmonary Disease Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.

Verify at the official NPI Registry.