Individual provider Active NPI

Jay Michael Truitt, MD, PHD, PHARMD, MPH

  • Dermatology Physician
  • Lubbock, TX
National Provider Identifier
1659868909
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
V6415 Issued in TX
Practice address
6102 82ND St Ste 15
Lubbock, TX 79424-0840
Phone
(806) 749-7933
Fax
(806) 749-6117
NPI assigned
Apr 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Student in an Organized Health Care Education/Training Program 390200000X TX
Dermatology Physician 207N00000X V6415 TX Primary

Addresses

Primary practice location

6102 82ND St Ste 15
Lubbock, TX 79424-0840

Mailing address

6102 82ND St Ste 15
Lubbock, TX 79424-0840
Phone (806) 749-7933

Other practice location 1

Department Of Dermatology 3601 4th Street Stop 9400
Lubbock, TX 79430-0001
Phone (806) 743-1842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250907000087 TX Practitioner - Dermatology 4385992494 Reassigns benefits to 1 organization
I20251002002613 WA Practitioner - Dermatology 4385992494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long and Harris Dermatology PLLCGroup PAC ID 9436424660, 3 clinicians
Benjamin Hsu, M.D.,P.SGroup PAC ID 1254221617, 6 clinicians

Practice addresses (Care Compare)

6102 82ND St
Suite 15
Lubbock, TX 79424-0840
Phone (806) 749-7933

757 E Holland Ave
Spokane, WA 99218-1257
Phone (509) 444-6367

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions104
Skin biopsy36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Long & Harris Dermatology PLLC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Benjamin Hsu, M.D.,P.S Dermatology CurrentSince Sep 8, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

6102 82nd St
Ste 15
Lubbock, TX 79424
Phone (806) 749-7933

757 E Holland Ave
Spokane, WA 99218
Phone (509) 444-6367

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.

NPI Registry JSON

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1659868909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 82ND ST STE 15",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240840",
            "telephone_number": "806-749-7933",
            "fax_number": "806-749-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 82ND ST STE 15",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240840",
            "telephone_number": "806-749-7933",
            "fax_number": "806-749-6117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Department Of Dermatology 3601 4th Street Stop 9400",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794300001",
            "country_code": "US",
            "telephone_number": "806-743-1842",
            "fax_number": "806-743-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUITT",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, PHARMD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-21",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "V6415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.