Individual provider Active NPI

Jeremy Michael Horak, D.O.

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1659720944
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10056159 Issued in TX
Practice address
3601 4TH St
Ms 6211
Lubbock, TX 79430-6211
Phone
(806) 743-2978
Fax
(806) 743-1599
NPI assigned
Jun 7, 2016
Last updated
Jun 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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 BP10056159 TX Primary

Addresses

Primary practice location

3601 4TH St
Ms 6211
Lubbock, TX 79430-6211

Mailing address

3601 4TH St
Ms 6211
Lubbock, TX 79430-6211
Phone (806) 743-2978

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
I20181213002047 TX Practitioner - Family PracticePractitioner - Emergency Medicine 8527353671 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.33 of 100Reported as group
Quality
74.13
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Oct 28, 2018 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Jun 1, 2019 Accepting new patients
Basin Emergency Physicians PLLC CurrentSince Sep 15, 2019 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Jun 1, 2019 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 28, 2018 Accepting new patients
Emergency Staffing Solutions of West Texas LLC CurrentSince Mar 17, 2019 Accepting new patients

Locations

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

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.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1659720944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST",
            "address_2": "MS 6211",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794306211",
            "telephone_number": "806-743-2978",
            "fax_number": "806-743-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST",
            "address_2": "MS 6211",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794306211",
            "telephone_number": "806-743-2978",
            "fax_number": "806-743-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAK",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10056159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.