NPIMap

Individual provider Active NPI

Bhupesh Hasmukh Dihenia, M.D.

  • Neurology Physician
  • Lubbock, TX
National Provider Identifier
1205835022
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K3156 Issued in TX
Practice address
3815 23Rd St
Lubbock, TX 79410
Phone
(806) 722-3500
Fax
(806) 796-0689
NPI assigned
Jul 14, 2005
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X K3156 TX Primary

Addresses

Primary practice location

3815 23Rd St
Lubbock, TX 79410

Mailing address

3815 23Rd St
Lubbock, TX 79410-1809
Phone (806) 722-3500

Other identifiers 14

IdentifierTypeStateIssuer
0050KKOtherTXBLUECROSS BLUESHIELD
031087201MedicaidTX
1509341-01MedicaidTX
0310872-02MedicaidTX
1465629OtherTXUNITED HEALTHCARE
DB8435OtherTXRAILROAD MEDICARE
42855055OtherNMNEW MEXICO MEDICAID
P00249371OtherTXRAILROAD MEDICARE
1509341-02MedicaidTX
898700OtherTXHEALTHSMART
5908577OtherTXAETNA
111701104OtherTXFIRST CARE
130021086OtherTXRAILROAD MEDICARE
8J9820OtherTXBLUECROSS BLUESHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bdihenia1379971@oc.providencedirect.org

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
I20050616000525 TX Practitioner - NeurologyPractitioner - Sleep Medicine 1850374539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Emory University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grace Clinic of LubbockGroup PAC ID 5597768101, 44 clinicians

Practice addresses (Care Compare)

3815 23Rd St
Lubbock, TX 79410-1809
Phone (806) 722-3500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Clinic of Lubbock CurrentSince Nov 1, 2015 Accepting new patients
Grace Clinic of Lubbock CurrentSince Nov 1, 2015 Accepting new patients
Bhupesh H Dihenia, MD PA Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3815 23rd St
Lubbock, TX 79410
Phone (806) 722-3500

4515 Marsha Sharp Fwy
Lubbock, TX 79407
Phone 80674472232432

Interoperability endpoints

  • Direct secure messaging: bdihenia@yourcarecommunity.org
  • Direct secure messaging: bhupesh.dihenia@direct.myteamcare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1205835022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 23RD ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101809",
            "telephone_number": "806-722-3500",
            "fax_number": "806-796-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 23RD ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-722-3500",
            "fax_number": "806-796-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIHENIA",
        "first_name": "BHUPESH",
        "middle_name": "HASMUKH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K3156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0050KK",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031087201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509341-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310872-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1465629",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB8435",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO MEDICAID",
            "identifier": "42855055",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00249371",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509341-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSMART",
            "identifier": "898700",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5908577",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "111701104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130021086",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "8J9820",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdihenia1379971@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3815 23rd St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.