Individual provider Active NPI

Jubel Keith Reed, PA-C

  • Family Medicine Physician
  • Midland, TX
National Provider Identifier
1659423556
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA03316 Issued in TX
Practice address
1300 W Wall St
Midland, TX 79701-6625
Phone
(432) 684-4488
Fax
(432) 684-6644
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 PA03316 TX Primary

Addresses

Primary practice location

1300 W Wall St
Midland, TX 79701-6625

Mailing address

1300 W Wall St
Midland, TX 79701-6625
Phone (432) 684-4488

Other identifiers 1

IdentifierTypeStateIssuer
PA03316OtherTXPA LICENSE NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000237 TX Practitioner - Physician Assistant 7113944588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Lubbock Primary Care, PLLCGroup PAC ID 1951687946, 15 clinicians

Practice addresses (Care Compare)

11007 Quaker Ave
Lubbock, TX 79424-8317
Phone (806) 701-4040

1300 W Wall St
Midland Primary Care
Midland, TX 79701-6625
Phone (432) 684-4488

Hospital & facility affiliations

  • Excelacare Home Health Home health agency, Lubbock, TX, CCN 677566
  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Family Medical Services Current Accepting new patients
Physician Management Services of Texas II, LLC Family Medicine Past Accepting new patients

Locations

1300 W Wall St
Midland, TX 79701
Phone (432) 684-4488

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHJIAD

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 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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659423556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W WALL ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016625",
            "telephone_number": "432-684-4488",
            "fax_number": "432-684-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W WALL ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016625",
            "telephone_number": "432-684-4488",
            "fax_number": "432-684-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JUBEL",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA03316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "PA03316",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.