Individual provider Active NPI

Andrew G. Faniku, MD

  • Pediatrics Physician
  • Lubbock, TX
National Provider Identifier
1447485883
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P3716 Issued in TX
Practice address
4002 24TH St
Lubbock, TX 79410-1894
Phone
(806) 725-6471
NPI assigned
May 28, 2009
Last updated
May 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P3716 TX Primary
Hospitalist Physician 208M00000X P3716 TX

Addresses

Primary practice location

4002 24TH St
Lubbock, TX 79410-1894

Mailing address

4002 24TH St
Lubbock, TX 79410-1894
Phone (806) 725-6471

Other practice location 1

9508 Virginia Ave
Lubbock, TX 79424-7521
Phone (510) 282-0933

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.faniku@ttuhsc.edu Direct Texas Tech University

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
I20120917000317 TX Practitioner - Pediatric MedicinePractitioner - Hospitalist 0244488203 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3716TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 10, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Faniks Healthcare Professionals, LLC Pediatrics CurrentSince Jul 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Pediatrics CurrentSince Jul 10, 2024 Accepting new patients
Methodist Children's Hospital Past Accepting new patients

Locations

3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188

4002 24th St
Lubbock, TX 79410
Phone (806) 725-0000

Interoperability endpoints

  • Direct secure messaging: afaniku373647@christushealth.direct-ci.net
  • Direct secure messaging: andrew.faniku@ttuhsc.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1447485883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101894",
            "telephone_number": "806-725-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101894",
            "telephone_number": "806-725-6471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9508 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794247521",
            "country_code": "US",
            "telephone_number": "510-282-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANIKU",
        "first_name": "ANDREW",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P3716",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P3716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.faniku@ttuhsc.edu",
            "affiliation": "Y",
            "endpointDescription": "Business Email",
            "affiliationName": "Texas Tech University",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business Email",
            "address_1": "4002 24th St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794101894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.