Individual provider Active NPI

Damon Herbie Hill, MD

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1427148352
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F6744 Issued in TX
Practice address
3516 22ND PL
Lubbock, TX 79410-1316
Phone
(806) 797-3322
Fax
(806) 797-6633
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F6744 TX Primary

Addresses

Primary practice location

3516 22ND PL
Lubbock, TX 79410-1316

Mailing address

3516 22ND PL
Lubbock, TX 79410-1316
Phone (806) 797-3322

Other identifiers 4

IdentifierTypeStateIssuer
8P1100OtherBLUE CROSS/BLUESHIELD
000W5748MedicaidNM
139194816MedicaidTX
201237576OtherTAX ID

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
I20040916000207 TX Practitioner - Family Practice 5294702502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Hill Medical Associates, LLPGroup PAC ID 4981086261, 3 clinicians

Practice addresses (Care Compare)

3516 22ND PL
Lubbock, TX 79410-1316
Phone (806) 797-3322

Hospital & facility affiliations

  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Medical Associates, LLP Family Medicine CurrentSince Apr 20, 2022 Accepting new patients
Hill Medical Associates Family Medicine Past Accepting new patients
Covenant Health System Past Accepting new patients

Locations

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

3516 22nd Pl
Lubbock, TX 79410
Phone (806) 771-7222

Interoperability endpoints

  • Direct secure messaging: damon.hill.1@26608.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26608/brand/1/csg/1/fhir/r4

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 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1427148352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101316",
            "telephone_number": "806-797-3322",
            "fax_number": "806-797-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101316",
            "telephone_number": "806-797-3322",
            "fax_number": "806-797-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "DAMON",
        "middle_name": "HERBIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F6744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUESHIELD",
            "identifier": "8P1100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000W5748",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139194816",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201237576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.