Individual provider Active NPI

Sorot Phisitkul, MD

  • Nephrology Physician
  • Lubbock, TX
National Provider Identifier
1457576704
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M6339 Issued in TX
Practice address
3601 4TH St
Lubbock, TX 79430-9410
Phone
(806) 743-3150
Fax
(806) 743-3168
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M6339 TX Primary
Internal Medicine Physician 207R00000X M6339 TX

Addresses

Primary practice location

3601 4TH St
Lubbock, TX 79430-9410

Mailing address

PO Box 5865
Lubbock, TX 79408-5865
Phone (806) 743-3150

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
I20070827000819 TX Practitioner - NephrologyPractitioner - Internal Medicine 5597857136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lubbock Nephrology Associates, P.a.Group PAC ID 6406936525, 4 clinicians

Practice addresses (Care Compare)

3708 22ND PL
Unit 1
Lubbock, TX 79410-1353
Phone (806) 771-7412

Hospital & facility affiliations

  • Angelo Kidney Connection Home Lubbock Dialysis facility, Lubbock, TX, CCN 742570
  • FKC Caprock Dialysis facility, Lubbock, TX, CCN 672811
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Covenant Hospital Plainview Hospital, Plainview, TX, CCN 450539
  • Yoakum County Hospital Hospital, Denver City, TX, CCN 451308
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6339TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Nephrology Associates, P.a. Internal Medicine CurrentSince Mar 15, 2018 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

3708 22nd Pl
Lubbock, TX 79410

2232 Indiana Ave
Ste 1
Lubbock, TX 79410
Phone (806) 395-4705

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

3708 22nd Pl
Unit 1
Lubbock, TX 79410
Phone (806) 771-7412

3180 Executive Dr
Ste 102
San Angelo, TX 76904
Phone (325) 944-1240

Interoperability endpoints

  • Direct secure messaging: sorot.phisitkul@direct.myteamcare.com
  • Direct secure messaging: sorotphisitkul@lubbockneph.allscriptsdirect.net

Organizations & group practices 2

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 7

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1457576704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5865",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794085865",
            "telephone_number": "806-743-3150",
            "fax_number": "806-743-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794309410",
            "telephone_number": "806-743-3150",
            "fax_number": "806-743-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHISITKUL",
        "first_name": "SOROT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M6339",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M6339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.