Individual provider Active NPI

Jeffrey Michael Owen, M.D.

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1427218213
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0334 Issued in TX
Practice address
5028 122ND St
Lubbock, TX 79424-8398
Phone
(806) 749-7975
Fax
(806) 749-7975
NPI assigned
Jun 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 N0334 TX Primary

Addresses

Primary practice location

5028 122ND St
Lubbock, TX 79424-8398

Mailing address

5028 122ND St
Lubbock, TX 79424-8398
Phone (806) 749-7975

Other identifiers 3

IdentifierTypeStateIssuer
197039401MedicaidTX
22982272MedicaidNM
P00831129OtherTXRAILROAD MEDICARE

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
I20081103000703 TX Practitioner - Family Practice 3173682309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owen Health Group, PLLCGroup PAC ID 2769767839, 2 clinicians

Practice addresses (Care Compare)

5028 122ND St
Lubbock, TX 79424-8398
Phone (806) 749-7975

Hospital & facility affiliations

  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions368
Skin biopsy41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0334TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owen Health Group, PLLC Family Medicine CurrentSince Jul 1, 2017 Accepting new patients

Locations

5028 122nd St
Lubbock, TX 79424
Phone (806) 392-0403

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

Interoperability endpoints

  • Direct secure messaging: owenhealthgrouppllc.jeffowen@136464.advancedmd-direct.com

Organizations & group practices 1

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 8

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": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1427218213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 122ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248398",
            "telephone_number": "806-749-7975",
            "fax_number": "806-749-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 122ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248398",
            "telephone_number": "806-749-7975",
            "fax_number": "806-749-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-15",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197039401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22982272",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00831129",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.