Active NPI
Johnny A Qubty, MEDICAL DOCTOR
- Interventional Pain Medicine Physician
- Lubbock, TX
National Provider Identifier
1184695538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- H2703
- Practice address
- 3601 21St St
Suite 3-a
Lubbock, TX 79410-1229 - Phone
- (806) 771-7877
- Fax
- (806) 771-7474
- NPI assigned
- Feb 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | H2703 | TX | Primary |
Addresses
Primary practice location
3601 21St St
Suite 3-a
Lubbock, TX 79410-1229
Mailing address
3601 21St St
Suite 3-a
Lubbock, TX 79410-1229
Phone (806) 771-7877
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0070LP | Other | TX | BLUE CROSS BLUE SHIELD |
| 130361208 | Medicaid | TX | |
| 050018039 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Past | Accepting new patients |
Interoperability endpoints
- jqubty@yourcarecommunity.org
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1376598904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1184695538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 21ST ST",
"address_2": "SUITE 3-A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101229",
"telephone_number": "806-771-7877",
"fax_number": "806-771-7474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 21ST ST",
"address_2": "SUITE 3-A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101229",
"telephone_number": "806-771-7877",
"fax_number": "806-771-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUBTY",
"first_name": "JOHNNY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MEDICAL DOCTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "H2703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0070LP",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130361208",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050018039",
"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 Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.