Gabriel Axelrud, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

S1555 Issued in TX

Practice address

4101 22ND PL
Lubbock, TX 79410

Phone

(806) 725-8000

Fax

(806) 723-6031

NPI assigned

May 23, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

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 2

Specialty

Radiation Oncology

Education

Texas a & M University System, HSC, College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
• Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305
• Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
• Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
• Covenant Hospital Plainview Hospital, Plainview, TX, CCN 450539

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904

  NM, TX

  Medicare reassignment Care Compare group NPD
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036

  NM

  Medicare reassignment NPD
• Covenant Medical Group

  • Rural Health Clinic/Center
  • Abernathy, TX
  • NPI 1538412895
  Care Compare group NPD
• Nor-Lea Hospital District

  • Rural Health Clinic/Center
  • Hobbs, NM
  • NPI 1528002805
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365

  Hospital

  Care Compare affiliation
• Lubbock Heritage Hospital, LLC.

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1225289499

  Hospital

  Care Compare affiliation
• Methodist Children'S Hospital

  • Children's Hospital
  • Lubbock, TX
  • NPI 1437171568

  Hospital

  Care Compare affiliation
• Methodist Hospital Plainview Texas

  • General Acute Care Hospital
  • Plainview, TX
  • NPI 1073580726

  Hospital

  Care Compare affiliation
• Methodist Hospital Plainview Texas

  • Ambulatory Surgical Clinic/Center
  • Plainview, TX
  • NPI 1174630198

  Hospital

  Care Compare affiliation
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1376955435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NASHVILLE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101105",
            "telephone_number": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-725-8000",
            "fax_number": "806-723-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELRUD",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN20336",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "S1555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401724601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8LL786",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35889721",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "846841",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Autry, APRN
• Ashley Nichole Avalos
• Helen Avalos, CRNA
• Krystal Avalos, FNP-C
• Jim Anderson Axe, D.D.S.
• Axiom Health and Wellness, LLC
• Sarah Ayers, PHARMD
• Ayman Karkoutly, M.D., PA
• Shady Ayoub
• Andrew P Azab, D.C.

• All providers in Lubbock, TX
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.

Verify at the official NPI Registry.