NPIMap

Individual provider Active NPI

Sergio Andres Lara, MD

  • Internal Medicine Physician
  • Plainview, TX
National Provider Identifier
1578639621
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3371 Issued in TX
Practice address
2606 Yonkers St
Plainview, TX 79072-1851
Phone
(806) 291-5121
Fax
(806) 291-5122
NPI assigned
Nov 28, 2006
Last updated
Apr 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3371 TX Primary

Addresses

Primary practice location

2606 Yonkers St
Plainview, TX 79072-1851

Mailing address

2606 Yonkers St
Plainview, TX 79072-1851
Phone (806) 291-5121

Other identifiers 2

IdentifierTypeStateIssuer
1205070398OtherTXNPI FOR GROUP PRACTICE
169966204MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041106000195 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 1557324951 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

1208 N
27 Covenant Family Medical Clinic
Plainview, TX 79072-3937
Phone (806) 291-5112

1806 Quincy St
Plainview, TX 79072-4206
Phone (806) 288-7891

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

2222 W 24TH St
Plainview, TX 79072-1802
Phone (806) 293-5113

2601 Dimmitt Rd
Plainview, TX 79072-1833
Phone (806) 296-4251

2606 Yonkers St
Plainview, TX 79072-1851
Phone (806) 293-5113

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

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3371TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sergio Lara MD PA Internal Medicine CurrentSince Dec 1, 2008 Accepting new patients
Covenant Medical Group Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Covenant Medical Group CurrentSince Jul 1, 2014 Accepting new patients
Methodist Hospital Plainview Texas Past Accepting new patients
Stratford Hospital District Past Accepting new patients
Childress County Hospital District Past Accepting new patients
Hale County Internal Medicine Internal Medicine Past Accepting new patients

Locations

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

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

2222 W 24th St
Plainview, TX 79072
Phone (806) 293-5113

2508 Xenia St
#101
Plainview, TX 79072
Phone (806) 291-3302

2508 Xenia St
Ste 101
Plainview, TX 79072
Phone (806) 291-3302

2606 Yonkers St
Plainview, TX 79072
Phone (806) 291-5120

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Plainview Healthcare CenterPlainview, TX, CCN 455551 Skilled nursing facility Adp of the SNF Feb 20, 2025
Traditions HealthPlainview, TX, CCN 451773 Hospice Contracted Managing Employee Apr 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1578639621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 YONKERS ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721851",
            "telephone_number": "806-291-5121",
            "fax_number": "806-291-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 YONKERS ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721851",
            "telephone_number": "806-291-5121",
            "fax_number": "806-291-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "SERGIO",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR GROUP PRACTICE",
            "identifier": "1205070398",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169966204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, TX

Sources for this page

Verify at the official NPI Registry.