Active NPI
Juan Y Kurdi, MD
- Interventional Cardiology Physician
- Lubbock, TX
National Provider Identifier
1568429504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- L4027
- Practice address
- 4316 23Rd St
Lubbock, TX 79410-1812 - Phone
- (806) 701-5858
- Fax
- (806) 701-5799
- NPI assigned
- Apr 26, 2006
- Last updated
- Jun 19, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | L4027 | TX | Primary |
Addresses
Primary practice location
4316 23Rd St
Lubbock, TX 79410-1812
Mailing address
4316 23Rd St
Lubbock, TX 79410-1812
Phone (806) 701-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01690515 | Other | TX | RAILROAD MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Plains Surgery Center LLC | Current | Accepting new patients | |
| Premier Medical Care P C | Past | Accepting new patients | |
| Lubbock Regional MHMR Center | Past | Accepting new patients |
Locations
4412 6th St
Lubbock, TX 79416
Phone (806) 451-5005
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- juan.kurdi@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.
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1639682503
-
dba Starcare Specialty Health System
- Clinic/Center
- Lubbock, TX
- NPI 1992708705
-
dba Premier Radiology
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1487696589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1568429504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4316 23RD ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101812",
"telephone_number": "806-701-5858",
"fax_number": "806-701-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4316 23RD ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101812",
"telephone_number": "806-701-5858",
"fax_number": "806-701-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURDI",
"first_name": "JUAN",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "L4027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01690515",
"state": "TX"
}
],
"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 Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.