Individual provider Active NPI

Michael Hood Chamales, M.D.

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1285642603
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-2504 Issued in TX
Practice address
15010 Slide Dr
Lubbock, TX 79424
Phone
(806) 872-4179
NPI assigned
Aug 3, 2006
Last updated
Jun 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-2504 TX Primary
Dermatology Physician 207N00000X E2504 TX
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X E2504 TX

Addresses

Primary practice location

15010 Slide Dr
Lubbock, TX 79424

Mailing address

15010 FM 1730
Lubbock, TX 79424-6635
Phone (806) 863-4206

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000297 TX Practitioner - Family PracticePractitioner - DermatologyPractitioner - Emergency MedicinePractitioner - Hospitalist 3971592098 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-2504TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seminole Hospital District of Gaines County Texas CurrentSince Aug 19, 2008 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Sep 17, 2019 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Aug 19, 2008 Accepting new patients
Arizona Ave Emergency Physicians Past Accepting new patients
Buffalo Springs Emergency Physicians Past Accepting new patients
Howard Emergency Medicine Associates PA. Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients

Locations

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

708 S 1st St
Muleshoe, TX 79347
Phone (806) 272-4524

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1285642603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 FM 1730",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246635",
            "telephone_number": "806-863-4206",
            "fax_number": "806-863-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 SLIDE DR",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-872-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMALES",
        "first_name": "MICHAEL",
        "middle_name": "HOOD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E-2504",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E2504",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "E2504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.