Individual provider Active NPI

Rex Hugh Reynolds, M.D.

  • Urology Physician
  • Lubbock, TX
National Provider Identifier
1487652509
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
F7092 Issued in TX
Practice address
3612 23Rd St
Lubbock, TX 79410-1326
Phone
(806) 793-8787
Fax
(806) 793-0150
NPI assigned
Jul 12, 2005
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X F7092 TX Primary

Addresses

Primary practice location

3612 23Rd St
Lubbock, TX 79410-1326

Mailing address

3420 22ND PL
Lubbock, TX 79410-1314
Phone (806) 793-8787

Other identifiers 1

IdentifierTypeStateIssuer
136174304MedicaidTX

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
I20041210000093 TX Practitioner - Urology 4082671102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical School at San Antonio, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844

3612 23Rd St
Lubbock, TX 79410-1326
Phone (806) 793-8787

3614 23Rd St
Lubbock, TX 79410-1326
Phone (806) 725-8787

3801 50TH St
Lubbock, TX 79413-3807
Phone (806) 725-7700

611 N Frankford Ave
Lubbock, TX 79416-1545
Phone (806) 725-5480

7601 Quaker Ave
Lubbock, TX 79424-3360
Phone (806) 725-9444

9812 Slide Rd
Lubbock, TX 79424-5781
Phone (806) 725-8400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F7092TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group CurrentSince Apr 1, 2014 Accepting new patients
Covenant Medical Group CurrentSince Apr 1, 2014 Accepting new patients
Kirk, Nicholson & Reynolds, L.L.P. Urology PastSince Aug 1, 2004 Accepting new patients

Locations

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

3612 23rd St
Lubbock, TX 79410
Phone (806) 793-8787

3420 22nd Pl
Lubbock, TX 79410
Phone (806) 725-1800

Interoperability endpoints

  • Direct secure messaging: rex.reynolds@direct.myteamcare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1487652509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101314",
            "telephone_number": "806-793-8787",
            "fax_number": "806-793-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 23RD ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101326",
            "telephone_number": "806-793-8787",
            "fax_number": "806-793-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "REX",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "F7092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136174304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.