Active NPI
Kumarapillai Narendran MD PA
- Gastroenterology Physician
- Lubbock, TX
National Provider Identifier
1467542431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- F3564
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0067BA | Other | TX | BLUE CROSS BLUE SHIELD |
| 148066702 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.