Individual provider Active NPI

Hamed Abdulsalam Shabaneh Al-Tamimi, M.D.

  • Gastroenterology Physician
  • Lubbock, TX
National Provider Identifier
1396757233
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M8330 Issued in TX
Practice address
2345 50TH St # 500
Lubbock, TX 79412-2565
Phone
(806) 701-5797
Fax
(806) 701-5798
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X M8330 TX Primary
Gastroenterology Physician 207RG0100X MD00042678 WA

Addresses

Primary practice location

2345 50TH St # 500
Lubbock, TX 79412-2565

Mailing address

PO Box 16770
Lubbock, TX 79490-6770
Phone (806) 701-5797

Other identifiers 9

IdentifierTypeStateIssuer
200072300AMedicaidOK
202003136MedicaidNM
92629083MedicaidNM
147548101MedicaidTX
8M0735OtherTXHMO BLUE
8U5052OtherTXBC/BS
147548100OtherTXFIRSTCARE COMMERCIAL
179160001MedicaidTX
202003136OtherNMPRESBYTERIAN COMMERCIAL

Other names 1

  • Hamed Abdulsalam Al-Tamimi Other name

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
I20060202000947 TX Practitioner - Gastroenterology 6709890395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2345 50TH St
Suite 500
Lubbock, TX 79412-2565
Phone (806) 701-5797

Hospital & facility affiliations

  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy103
Upper gastrointestinal (GI) endoscopy for acid reflux228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamed Abdulsalam Shabaneh Altamimi MD, PLLC Gastroenterology CurrentSince Jan 5, 2022 Accepting new patients
Salman Ahmad, M.D., P.a. CurrentSince Jan 5, 2022 Accepting new patients
Rockwood Clinic PS Past Accepting new patients

Locations

2345 50th St
Ste 500
Lubbock, TX 79412
Phone (806) 701-5797

2345 50th St
#500
Lubbock, TX 79412
Phone (806) 701-5797

Interoperability endpoints

  • Direct secure messaging: hamed.altamimi@direct.myteamcare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFFCD/Endpoint/CFFFCD

Organizations & group practices 3

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 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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1396757233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16770",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794906770",
            "telephone_number": "806-701-5797",
            "fax_number": "806-701-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 50TH ST # 500",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122565",
            "telephone_number": "806-701-5797",
            "fax_number": "806-701-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABANEH AL-TAMIMI",
        "first_name": "HAMED",
        "middle_name": "ABDULSALAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M8330",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00042678",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200072300A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202003136",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92629083",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147548101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "8M0735",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8U5052",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE COMMERCIAL",
            "identifier": "147548100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179160001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN COMMERCIAL",
            "identifier": "202003136",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAMED",
            "last_name": "AL-TAMIMI",
            "middle_name": "ABDULSALAM",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.