Individual provider Active NPI

Robin C Minielly, MD

  • Anesthesiology Physician
  • Lubbock, TX
National Provider Identifier
1487678744
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
N2666 Issued in TX
Practice address
7509 Marsha Sharp Fwy
Lubbock, TX 79407-8202
Phone
(806) 744-7223
Fax
(806) 740-3325
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N2666 TX
Anesthesiology Physician 207L00000X N2666 TX Primary

Addresses

Primary practice location

7509 Marsha Sharp Fwy
Lubbock, TX 79407-8202

Mailing address

4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 744-7223

Other practice location 1

2412 50th St
Lubbock, TX 79412-2504
Phone (806) 744-7223

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
I20090709000528 TX Practitioner - Anesthesiology 5890780589 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Drexel University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McOn Anesthesia PLLCGroup PAC ID 3173008059, 53 clinicians
Independent Physicians Network PLLCGroup PAC ID 5496029407, 218 clinicians

Practice addresses (Care Compare)

3625 N Hall St
Suite 800
Dallas, TX 75219-5106
Phone (800) 411-7515

Hospital & facility affiliations

  • Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
  • Quail Creek Surgical Hospital Hospital, Amarillo, TX, CCN 450875

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N2666TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Dec 19, 2023 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 19, 2023 Accepting new patients
Ess of Lubbock, LLC Emergency Medicine CurrentSince Jul 31, 2022 Accepting new patients
Altus Exceptional Physician Group PLLC Emergency Medicine CurrentSince Jan 24, 2024 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Jul 1, 2009 Accepting new patients
Exceptional Physicians Group Lubbock Hospital PLLC Emergency Medicine CurrentSince Mar 31, 2024 Accepting new patients
Independent Physicians Network PLLC Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Exceptional Health Care Lubbock LLC PastSince Nov 19, 2023 Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065

1535 West Loop S
Ste 450
Houston, TX 77027
Phone (832) 219-3833

1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709

6401 Spur 327
Lubbock, TX 79424
Phone (436) 341-7800

7509 Marsha Sharp Fwy
Lubbock, TX 79407
Phone (806) 723-9000

4810 N Loop 289
Lubbock, TX 79416
Phone (806) 687-7777

4337 50th St
Lubbock, TX 79413
Phone (806) 630-4501

4515 Marsha Sharp Fwy
Lubbock, TX 79407
Phone 80674472232432

2412 50th St
Lubbock, TX 79412
Phone (806) 788-4000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Organizations & group practices 10

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 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1487678744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 MARSHA SHARP FWY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072520",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 MARSHA SHARP FWY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794078202",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2412 50th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794122504",
            "country_code": "US",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINIELLY",
        "first_name": "ROBIN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N2666",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N2666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.