Individual provider Active NPI

Daniel Lockhart

  • Physician Assistant
  • Midland, TX
National Provider Identifier
1306456611
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA150000 Issued in TX
Practice address
3600 N Garfield St
Midland, TX 79705-6329
Phone
(432) 557-4185
NPI assigned
Aug 3, 2020
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA150000 TX Primary

Addresses

Primary practice location

3600 N Garfield St
Midland, TX 79705-6329

Mailing address

8004 Quinton Ave
Lubbock, TX 79424-3341
Phone (432) 557-4185

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniel.lockhart@direct.myteamcare.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220104001502 TX Practitioner - Physician Assistant 5799176699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11011 Slide Rd
Lubbock, TX 79424-2274
Phone (806) 743-2584

3601 4TH St
Lubbock, TX 79430-0002

4642 N Loop
Lubbock, TX 79416-2425
Phone (806) 743-3150

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 743-1842

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA150000TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Dec 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Dec 1, 2021 Accepting new patients
Aurelio R Cervera MD PA CurrentSince Apr 1, 2026 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

3223 S Loop 289
Ste 130
Lubbock, TX 79423

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Interoperability endpoints

  • Direct secure messaging: daniel.lockhart@direct.myteamcare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIADDD

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, 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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1306456611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 QUINTON AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243341",
            "telephone_number": "432-557-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N GARFIELD ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056329",
            "telephone_number": "432-557-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA150000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.lockhart@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "3601 4th St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794300002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.