Individual provider Active NPI

Kumarapillai Narendran

  • Gastroenterology Physician
  • Lubbock, TX
National Provider Identifier
1366438566
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F3564 Issued in TX
Practice address
3712 22ND St
Lubbock, TX 79410-1312
Phone
(806) 795-5561
Fax
(806) 793-9817
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X F3564 TX Primary

Addresses

Primary practice location

3712 22ND St
Lubbock, TX 79410-1312

Mailing address

3712 22ND St
Lubbock, TX 79410-1312
Phone (806) 795-5561

Other identifiers 3

IdentifierTypeStateIssuer
Y8385MedicaidNM
148066702MedicaidTX
0067BAOtherTXBLUE CROSS BLUE SHIELD

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
I20100817000540 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 2961427422 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3564TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Oct 24, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 18, 2024 Accepting new patients
Hendrick Provider Network CurrentSince Oct 24, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 18, 2024 Accepting new patients
Healthtexas Provider Network Gastroenterology Current Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: knarendran1334628@direct.sw.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1366438566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101312",
            "telephone_number": "806-795-5561",
            "fax_number": "806-793-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101312",
            "telephone_number": "806-795-5561",
            "fax_number": "806-793-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARENDRAN",
        "first_name": "KUMARAPILLAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F3564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Y8385",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148066702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0067BA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.