Active NPI
Samuel B Herrera, M.D.
- Emergency Medicine Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- L8728
- Practice address
- 4000 24TH St
Lubbock, TX 79410-1894 - Phone
- (806) 725-0030
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | L8728 | TX | Primary |
Addresses
Primary practice location
4000 24TH St
Lubbock, TX 79410-1894
Mailing address
3420 22ND PL
Lubbock, TX 79410-1314
Phone (806) 725-5844
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8BW897 | Other | TX | BCBS TX |
| 167498803 | Medicaid | TX | |
| 167498804 | Other | TX | CSHCN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4002 24TH St
Lubbock, TX 79410-1894
Phone (806) 725-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Methodist Children'S Hospital | Past | Accepting new patients |
Locations
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000
4002 24th St
Lubbock, TX 79410
Phone (806) 300-3229
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1518475557
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270684800000",
"number": "1215012299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 22ND PL",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101314",
"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": "4000 24TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101894",
"telephone_number": "806-725-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "SAMUEL",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2010-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "L8728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "8BW897",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167498803",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "167498804",
"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 Apr 8, 2010; 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.