Individual provider Active NPI

Derick Ray Haggard, M.D.

  • Surgery Physician
  • Lubbock, TX
National Provider Identifier
1386667632
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J8563 Issued in TX
Practice address
3611 22ND PL
Lubbock, TX 79410-1317
Phone
(806) 771-2222
Fax
(806) 771-2224
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X J8563 TX Primary

Addresses

Primary practice location

3611 22ND PL
Lubbock, TX 79410-1317

Mailing address

3509 22ND Street
Lubbock, TX 79410-1307
Phone (806) 799-7928

Other practice location 1

3611 22nd Pl
Lubbock, TX 79410-1317
Phone (806) 799-7928

Other identifiers 2

IdentifierTypeStateIssuer
125719805MedicaidTX
J8563OtherTXLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address derick.haggard@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120530000586 TX Practitioner - General Surgery 5092771345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swat Surgical Associates LLPGroup PAC ID 1355371832, 13 clinicians

Practice addresses (Care Compare)

1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (806) 799-7928

3509 22ND St
Lubbock, TX 79410-1307
Phone (806) 799-7928

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Lubbock Heart Hospital LP Hospital, Lubbock, TX, CCN 450876
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Covenant Hospital Levelland Hospital, Levelland, TX, CCN 450755

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)15
Prostate resection1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Surgery CurrentSince Apr 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Apr 1, 2021 Accepting new patients
Swat Surgical Associates, L.L.P. Surgery CurrentSince Jan 1, 2018 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients

Locations

116 John Dupree Dr
Ste D
Levelland, TX 79336
Phone (806) 794-2465

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

4102 24th St
Ste 304
Lubbock, TX 79410
Phone (806) 743-7874

3611 22nd Pl
Lubbock, TX 79410
Phone (803) 771-2222

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

3509 22nd St
Lubbock, TX 79410
Phone (806) 799-7928

1700 Cogdell Blvd
Snyder, TX 79549
Phone (325) 573-6374

Interoperability endpoints

  • Direct secure messaging: derick.haggard@direct.myteamcare.com
  • Direct secure messaging: dhaggard@yourcarecommunity.org
  • Direct secure messaging: derickhaggard@swatsallp.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1386667632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 22ND STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101307",
            "telephone_number": "806-799-7928",
            "fax_number": "806-788-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101317",
            "telephone_number": "806-771-2222",
            "fax_number": "806-771-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 22nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101317",
            "country_code": "US",
            "telephone_number": "806-799-7928",
            "fax_number": "806-788-8560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGGARD",
        "first_name": "DERICK",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J8563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125719805",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "J8563",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "derick.haggard@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "3611 22nd Pl",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794101317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.