Active NPI
Genanew Bedanie, MD
- Gastroenterology Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- S4600
- Practice address
- 4309 102ND St
Lubbock, TX 79423-5708 - Phone
- (806) 761-0747
- NPI assigned
- Jun 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | MD2022-0130 | NM | |
| Internal Medicine Physician | 207R00000X | MD2022-0130 | NM | |
| Gastroenterology Physician | 207RG0100X | S4600 | TX | Primary |
Addresses
Primary practice location
4309 102ND St
Lubbock, TX 79423-5708
Mailing address
5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0334
Other practice location 1
3601 4th St # MS 9410
Lubbock, TX 79430-0002
Phone (806) 743-3381
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Genanew.Bedanie2@direct.myteamcare.com | Direct | UMC Physicians |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4309 102ND St
Lubbock, TX 79423-5708
Phone (806) 761-0747
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 36 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2022-0130 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group Inc | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Umc Physicians | Internal Medicine | Current | Accepting new patients |
Locations
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
4309 102nd St
Lubbock, TX 79423
Phone (806) 761-0747
808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400
5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
3601 4th St
Stop 9410
Lubbock, TX 79430
Phone (806) 743-3155
Interoperability endpoints
- genanew.bedanie2@direct.myteamcare.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
NM
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1487174884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 CITY BANK PKWY STE 35",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794073545",
"telephone_number": "806-761-0334",
"fax_number": "806-785-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 102ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794235708",
"telephone_number": "806-761-0747"
}
],
"practiceLocations": [
{
"address_1": "3601 4th St # MS 9410",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794300002",
"country_code": "US",
"telephone_number": "806-743-3381",
"fax_number": "806-743-3381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEDANIE",
"first_name": "GENANEW",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "NM",
"license": "MD2022-0130",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2022-0130",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "S4600",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Genanew.Bedanie2@direct.myteamcare.com",
"affiliation": "Y",
"affiliationName": "UMC Physicians",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4309 102nd St",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794235708",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.