Active NPI
Harvey Burguillos De Nieva, MD
- Internal Medicine Physician
- Lubbock, TX
National Provider Identifier
1558040618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- W5307
- Practice address
- 3615 19TH St
Lubbock, TX 79410-1209 - Phone
- (806) 725-0000
- NPI assigned
- Jul 17, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | W5307 | TX | Primary |
Addresses
Primary practice location
3615 19TH St
Lubbock, TX 79410-1209
Mailing address
3615 19TH St
Lubbock, TX 79410-1209
Phone (806) 725-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4100 International PLZ
Fort Worth, TX 76109-4800
PO Box
Suite 740567
Los Angeles, CA 90074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- harvey.denieva.p1@direct.bmsi.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1558040618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 19TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101209",
"telephone_number": "806-725-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 19TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101209",
"telephone_number": "806-725-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE NIEVA",
"first_name": "HARVEY",
"middle_name": "BURGUILLOS",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-17",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "W5307",
"primary": true
}
],
"identifiers": [],
"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 Jul 7, 2026; 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.