Organization Active NPI

Kumarapillai Narendran MD PA

  • Gastroenterology Physician
  • Lubbock, TX
National Provider Identifier
1467542431
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F3564 Issued in TX
Legal business name
KUMARAPILLAI NARENDRAN MD PA
Practice address
3712 22ND St
Lubbock, TX 79410-1312
Phone
(806) 795-5561
Fax
(806) 687-7792
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Mrs. Denise Walker
Title
Office Manager
Phone
(806) 795-5561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X F3564 TX Primary

Addresses

Primary practice location

3712 22ND St
Lubbock, TX 79410-1312

Mailing address

3712 22ND St
Lubbock, TX 79410-1312
Phone (806) 795-5561

Other identifiers 2

IdentifierTypeStateIssuer
0067BAOtherTXBLUE CROSS BLUE SHIELD
148066702MedicaidTX

National Provider Directory

National Provider Directory

Locations

3712 22nd St
Lubbock, TX 79410
Phone (806) 795-5561

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1467542431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101312",
            "telephone_number": "806-795-5561",
            "fax_number": "806-687-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101312",
            "telephone_number": "806-795-5561",
            "fax_number": "806-687-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMARAPILLAI NARENDRAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-795-5561",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F3564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0067BA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148066702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.