Individual provider Active NPI

Monty Rex Lybbert, M.D.

  • Emergency Medicine Physician
  • Detroit, MI
National Provider Identifier
1407084296
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q0966 Issued in TX
Practice address
6071 W Outer Dr
Detroit, MI 48235-2624
Phone
(313) 966-1020
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30556 OK
Emergency Medicine Physician 207P00000X Q0966 TX Primary

Addresses

Primary practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Mailing address

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-1020

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
I20141023000701 TX Practitioner - Emergency Medicine 4486818515 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ess of Crockett, LLCGroup PAC ID 3678942778, 21 clinicians
Union Emergency Physicians PLLCGroup PAC ID 7810359759, 63 clinicians

Practice addresses (Care Compare)

1100 E Loop
Suite 304
Crockett, TX 75835-1810
Phone (936) 931-3891

4250 Gibson LN
Texarkana, TX 75503-1157
Phone (903) 614-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of South Texas LLC Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Ess of Nacogdoches LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Union Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 16, 2024 Accepting new patients
Ess of Crockett, LLC Emergency Medicine CurrentSince Mar 5, 2023 Accepting new patients
Gulf Coast Intensivists, PLLC CurrentSince Oct 5, 2024 Accepting new patients
Ess of Port Lavaca LLC Emergency Medicine CurrentSince Jan 29, 2024 Accepting new patients
Texarkana Emergency Physicians PLLC Emergency Medicine CurrentSince Nov 15, 2020 Accepting new patients
Emergency Staffing Solutions of West Texas LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Observation Emergency Physicians, P.C. Emergency Medicine Past Accepting new patients

Locations

2830 Calder St
Fl 4
Beaumont, TX 77702
Phone (409) 899-5156

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

4250 Gibson Ln
Texarkana, TX 75503
Phone (903) 614-8100

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

Organizations & group practices 9

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 3

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1407084296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBBERT",
        "first_name": "MONTY",
        "middle_name": "REX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "30556",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q0966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.