Paul A Overlie, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

H5345 Issued in TX

Practice address

3514 21St St
Lubbock, TX 79410-1210

Phone

(806) 725-1801

Fax

(806) 723-7535

NPI assigned

Jun 9, 2005

Last updated

Dec 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24018/brand/1/csg/1/fhir/r4
• Direct secure messaging: paul.overliemd@direct.myteamcare.com

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.

• Texas Physicians Group

  • Cardiovascular Disease Physician
  • Lubbock, TX
  • NPI 1497014369
  Medicare reassignment NPD
• Lubbock Cardiology Clinic, PA

  • Cardiovascular Disease Physician
  • Lubbock, TX
  • NPI 1972607034
  NPD
• Caprock Cardiovascular Center, LLP

  • Cardiovascular Disease Physician
  • Lubbock, TX
  • NPI 1982063269
  NPD (past)
• M. Fawwaz Shoukfeh, M.D., P.a.

  dba Texas Cardiac Center

  • Cardiovascular Disease Physician
  • Lubbock, TX
  • NPI 1053313247
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1598769275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NASHVILLE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101105",
            "telephone_number": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 21ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101210",
            "telephone_number": "806-725-1801",
            "fax_number": "806-723-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERLIE",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H5345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "274410YKT8",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000W7173",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8GH487",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119000106",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "120843107",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01772077",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy S Oursbourn, RPH
• Kia Ousley, MD
• Outreach Health Community Care Services (Outreach Health Services)
• Outreach Health Community Care Services LP (Outreach Health Services)
• Megan Elizabeth Overby, M.S. SLP
• Sterling Evan Overstreet, M.D.
• Taylor James Overton, MAT, LAT, ATC
• Owen Health Group, PLLC
• Chelsea Owen
• Jamie Owen, SLP

• Cardiovascular Disease Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.