Active NPI
Samuel Edwards, MD
- Internal Medicine Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- S7865
- Practice address
- 3601 4TH St # Ms 9410
Lubbock, TX 79430-0002 - Phone
- (806) 743-3381
- NPI assigned
- Jun 27, 2017
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | S7865 | TX | Primary |
Addresses
Primary practice location
3601 4TH St # Ms 9410
Lubbock, TX 79430-0002
Mailing address
3601 4TH St # Ms 9410
Lubbock, TX 79430-0002
Phone (806) 743-3381
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
- Internal Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3615 19TH St
Lubbock, TX 79410-1203
Phone (806) 725-0000
Hospital & facility affiliations
- Covenant Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S7865 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians of Texas I, Inc | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Past | Accepting new patients | |
| Covenant Medical Center | Past | Accepting new patients |
Locations
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000
17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
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.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Family Medicine Physician
- Sugar Land, TX
- NPI 1831424563
Internal Medicine
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1255852505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 4TH ST # MS 9410",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794300002",
"telephone_number": "806-743-3381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 4TH ST # MS 9410",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794300002",
"telephone_number": "806-743-3381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "SAMUEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S7865",
"primary": true
}
],
"identifiers": [],
"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 23, 2021; 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.