Individual provider Active NPI

Christopher R Rose, MD

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1619075520
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7879 Issued in TX
Practice address
3709 22ND PL
Ste a
Lubbock, TX 79410
Phone
(806) 791-3999
Fax
(806) 791-1054
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7879 TX Primary

Addresses

Primary practice location

3709 22ND PL
Ste a
Lubbock, TX 79410

Mailing address

3709 22ND PL
Ste a
Lubbock, TX 79410
Phone (806) 791-3999

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
I20040227000413 TX Practitioner - Family Practice 8921994658 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3709 22ND PL
Unit a
Lubbock, TX 79410-1333
Phone (806) 791-3999

Hospital & facility affiliations

  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7879TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ward CurrentSince Apr 1, 2022 Accepting new patients
Christopher R. Rose, MD PA Family Medicine CurrentSince Jul 9, 2001 Accepting new patients
County of Ward Current Accepting new patients
County of Ward CurrentSince Apr 1, 2022 Accepting new patients
County of Ward Current Accepting new patients
Alpha Sleep Labs, Inc CurrentSince Dec 1, 2022 Accepting new patients
Covenant Medical Group Family Medicine Past Accepting new patients

Locations

4601 S Loop 289
Lubbock, TX 79424
Phone (806) 771-7879

3709 22nd Pl
Unit A
Lubbock, TX 79410
Phone (806) 791-3999

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

Interoperability endpoints

  • Direct secure messaging: christopherrose@crrmdpa.allscriptsdirect.net
  • Direct secure messaging: christopher.rose@direct.myteamcare.com
  • Direct secure messaging: cr276@yourcarecommunity.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619075520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 22ND PL",
            "address_2": "STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-791-3999",
            "fax_number": "806-791-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 22ND PL",
            "address_2": "STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-791-3999",
            "fax_number": "806-791-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.