Individual provider Active NPI

Lufkin R Moses, DO

  • Surgery Physician
  • Sweetwater, TX
National Provider Identifier
1598710915
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E6855 Issued in TX
Practice address
200 E Arizona
#5
Sweetwater, TX 79566-7120
Phone
(325) 235-3800
Fax
(325) 235-3313
NPI assigned
May 24, 2006
Last updated
Feb 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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 E6855 TX
Surgery Physician 208600000X E6855 TX Primary

Addresses

Primary practice location

200 E Arizona
#5
Sweetwater, TX 79566-7120

Mailing address

200 E Arizona
#5
Sweetwater, TX 79566-7120
Phone (325) 235-3800

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
I20060718000397 TX Practitioner - General SurgeryPractitioner - Family Practice 2769495654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

997 W Interstate 20
Colorado City, TX 79512-2685
Phone 32572885227590

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6855TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell County Hospital District Surgery CurrentSince Oct 1, 2007 Accepting new patients
Mitchell County Hospital District CurrentSince Oct 1, 2007 Accepting new patients
Arizona Ave Emergency Physicians Emergency Medicine Past Accepting new patients
St. Mary's Hospital Inc Past Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine PastSince Apr 21, 2024 Accepting new patients

Locations

997 W Interstate 20
Colorado City, TX 79512
Phone (325) 728-3431

301 Jenny George Ln
Ste 6
Sweetwater, TX 79556
Phone (325) 235-3800

Interoperability endpoints

  • Direct secure messaging: lufkin.moses.1@29392.direct.athenahealth.com

Organizations & group practices 6

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 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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1598710915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E ARIZONA",
            "address_2": "#5",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795667120",
            "telephone_number": "325-235-3800",
            "fax_number": "325-235-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ARIZONA",
            "address_2": "#5",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795667120",
            "telephone_number": "325-235-3800",
            "fax_number": "325-235-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "LUFKIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "E6855",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "E6855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

Verify at the official NPI Registry.