NPIMap

Individual provider Active NPI

Donald Freitag, M.D.

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1336119148
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H8053 Issued in TX
Practice address
406 Martin Luther King Blvd
Lubbock, TX 79403-5210
Phone
(806) 767-9744
Fax
(806) 767-9930
NPI assigned
Jan 24, 2006
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H8053 TX Primary

Addresses

Primary practice location

406 Martin Luther King Blvd
Lubbock, TX 79403-5210

Mailing address

1610 5TH St
Lubbock, TX 79401-2622
Phone (806) 765-2611

Other practice location 1

2600 Lockwood
Suite A
Tahoka, TX 79373-1620
Phone (806) 998-4544

Other identifiers 2

IdentifierTypeStateIssuer
135110801MedicaidTX
135110803MedicaidTX

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
I20091231000496 TX Practitioner - Family PracticePractitioner - Emergency Medicine 5496896185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2301 Cedar Ave
Lubbock, TX 79404-1629
Phone (806) 749-0024

406 Martin Luther King Blvd
Lubbock, TX 79403-5210
Phone (806) 767-9744

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Lubbock, Inc. CurrentSince May 27, 2024 Accepting new patients
Community Health Center of Lubbock, Inc. Current Accepting new patients

Locations

1610 5th St
Lubbock, TX 79401
Phone (806) 763-9999

1610 5th St
Ste A
Lubbock, TX 79401

3502 9th St
Ste 280
Lubbock, TX 79415
Phone (806) 743-3085

406 Mlk Blvd
Lubbock, TX 79403
Phone (806) 767-9744

406 Mlk Blvd
Ste A
Lubbock, TX 79403

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Health Center of Lubbock, Inc.Lubbock, TX, CCN 451934 Federally qualified health center Contracted Managing Employee Nov 13, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 6

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1336119148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 5TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012622",
            "telephone_number": "806-765-2611",
            "fax_number": "806-687-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MARTIN LUTHER KING BLVD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794035210",
            "telephone_number": "806-767-9744",
            "fax_number": "806-767-9930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Lockwood",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Tahoka",
            "state": "TX",
            "postal_code": "793731620",
            "country_code": "US",
            "telephone_number": "806-998-4544",
            "fax_number": "806-998-4153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREITAG",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135110801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135110803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.