Individual provider Active NPI

Isaac Tafur, MD

  • Medical Oncology Physician
  • Lubbock, TX
National Provider Identifier
1679536387
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
K7627 Issued in TX
Practice address
4101 22ND Place
Lubbock, TX 79410
Phone
(806) 725-8000
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MD2005-0643 NM
Medical Oncology Physician 207RX0202X K7627 TX Primary

Addresses

Primary practice location

4101 22ND Place
Lubbock, TX 79410

Mailing address

4101 22ND Place
Lubbock, TX 79410
Phone (806) 725-8000

Other practice location 1

1600 N Main Ave
Lovington, NM 88260-2813
Phone (806) 725-8000

Other identifiers 1

IdentifierTypeStateIssuer
146469501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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
I20110908002188 TX Practitioner - Hematology/Oncology 4385814920 Reassigns benefits to 1 organization
I20120510000240 NM Practitioner - Hematology/Oncology 4385814920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844

4101 22ND PL
Lubbock, TX 79410-1121
Phone (806) 725-8000

Hospital & facility affiliations

  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2005-0643NMMDMedical Oncology Physician
K7627TXMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group CurrentSince Dec 1, 2011 Accepting new patients
Covenant Medical Group CurrentSince Dec 1, 2011 Accepting new patients
Covenant Health System Past Accepting new patients

Locations

2000 W 21st St
Ste W7
Clovis, NM 88101
Phone (575) 637-7000

1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611

3420 22nd Pl
Lubbock, TX 79410
Phone (806) 725-1800

4101 22nd Pl
Lubbock, TX 79410
Phone (806) 725-8000

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

Interoperability endpoints

  • Direct secure messaging: itafur1266563@oc.providencedirect.org

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 9

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1679536387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 22ND PLACE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-725-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 22ND PLACE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-725-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Main Ave",
            "address_purpose": "LOCATION",
            "city": "Lovington",
            "state": "NM",
            "postal_code": "882602813",
            "country_code": "US",
            "telephone_number": "806-725-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAFUR",
        "first_name": "ISAAC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NM",
            "license": "MD2005-0643",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "K7627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146469501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.