Individual provider Active NPI

Kerrie A. Pinkney, MD

  • Hospitalist Physician
  • Lubbock, TX
National Provider Identifier
1497784557
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD421619 Issued in PA
Practice address
602 Indiana Avenue
Lubbock, TX 79415
Phone
(806) 775-8200
Fax
(806) 775-9182
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X K2259 TX
Pediatrics Physician 208000000X MD421619 PA
Pediatric Critical Care Medicine Physician 2080P0203X MD421619 PA
General Practice Physician 208D00000X MD421619 PA
Hospitalist Physician 208M00000X MD421619 PA Primary

Addresses

Primary practice location

602 Indiana Avenue
Lubbock, TX 79415

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407
Phone (806) 761-0333

Other identifiers 1

IdentifierTypeStateIssuer
001726583MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091203000044 TX Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 4880597541 Reassigns benefits to 2 organizations
I20230310002095 WV Practitioner - Pediatric Medicine 4880597541

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K2259TXMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatric Assoc PA CurrentSince Jan 23, 2010 Accepting new patients
Bsa Physicians Group Inc Family Medicine CurrentSince May 1, 2020 Accepting new patients
University of Maryland Pediatric Associates, PA Pediatrics Current Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince Nov 1, 2018 Accepting new patients
University of Maryland Pediatric Associates, PA Pediatrics CurrentSince Jan 23, 2010 Accepting new patients
Bsa Physicians Group Inc CurrentSince May 1, 2020 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
The Nemours Foundation Past Accepting new patients
Texas Tech University Health Sciences Center University Associates Family Medicine Past Accepting new patients
SCHC Pediatric Associates, LLC Pediatrics Past Accepting new patients
Children'S Anesthesiology Associates, LTD Critical Care Medicine Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Interoperability endpoints

  • Direct secure messaging: kpinkney106651@ahs.direct-ci.com
  • Direct secure messaging: kpinkney392606@direct.wvuhsdirect.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1497784557",
    "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": "79407",
            "telephone_number": "806-761-0333",
            "fax_number": "806-782-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 INDIANA AVENUE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79415",
            "telephone_number": "806-775-8200",
            "fax_number": "806-775-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKNEY",
        "first_name": "KERRIE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "TX",
            "license": "K2259",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD421619",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "PA",
            "license": "MD421619",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD421619",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD421619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001726583",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.