Maybin Simfukwe, MD
Individual provider Active NPI Nephrology Physician · Lubbock, TX
NPI 1689635559 · NPPES record last updated Oct 17, 2012
Key facts
- NPI
- 1689635559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- L7888 (TX)
- Practice address
- 3708 22ND PL
Suite a
Lubbock, TX 79410-1351 - Phone
- (806) 771-1386
- Fax
- (806) 771-1388
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- University of Texas Medical Branch at Galveston, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cura Healthcare
Lubbock Nephrology Associates, P.a.
Practice addresses (Care Compare)
Albuquerque, NM 87110
Phone (505) 413-3719
3708 22ND PL
Unit 1
Lubbock, TX 79410-1353
Phone (806) 771-7412
Hospital & facility affiliations
- Fresenius Kidney Care Stanbaugh Memorial
- Fresenius Medical Care Lubbock
- FMC Dialysis Services Plainview
- FKC Caprock
- Kidney Care Center Lubbock
- Covenant Medical Center
- Medical Arts Hospital
- Covenant Hospital Levelland
- Nor-Lea Hospital District
- Grace Surgical Hospital
- St. Anthony Healthcare and Rehabilitation Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050314000314 | TX | Practitioner - Nephrology |
2062467012 | Reassigns benefits to 3 organizations |
| I20070509000361 | NM | Practitioner - Nephrology |
2062467012 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cura Healthcare | Internal Medicine | Current |
Accepting new patients |
| CTD Network LLC | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current |
Accepting new patients |
| Lubbock Nephrology Associates, P.a. | Internal Medicine | Current |
Accepting new patients |
| MPS Home Therapies, PLLC | Current | Accepting new patients | |
| Usrc Clovis, LLC | Past |
Accepting new patients |
Locations
8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719
163 Parkhouse St
#1031
Dallas, TX 75207
3708 22nd Pl
Lubbock, TX 79410
3708 22nd Pl
Unit 1
Lubbock, TX 79410
Phone (806) 771-7412
1126 Slide Rd
Unit 4B
Lubbock, TX 79416
Phone (806) 793-8447
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
2232 Indiana Ave
Ste 1
Lubbock, TX 79410
Phone (806) 395-4705
3708 22nd Pl
Ste A
Lubbock, TX 79410
Phone (806) 771-7412
9812 Slide Rd
Lubbock, TX 79424
Phone (806) 725-1000
2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282
3180 Executive Dr
Ste 102
San Angelo, TX 76904
Phone (325) 944-1240
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530
Interoperability endpoints
- maybinsimfukwe@lubbockneph.allscriptsdirect.net
- maybin.simfukwe@direct.myteamcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L7888 | TX | |
| Nephrology Physician | 207RN0300X | L7888 | TX | Yes |
Addresses
Primary practice location
3708 22ND PL
Suite a
Lubbock, TX 79410-1351
Mailing address
PO Box 54136
Lubbock, TX 79453-4136
Phone (806) 771-1386
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171618507 | Medicaid | TX | |
| 8AK570 | Other | TX | BCBS |
Other providers in Lubbock, TX
- Whitney Silverthorn
- David Regan Simek
- Mark Joseph Simek
- Robert Simek
- Hannah Lynn Simental
- Elaine Simko
- Gary Edward Simmons
- Kristal Lyn Simmons
- Summer Simmons
- Bryan S. Simpson
All providers in Lubbock, TX · Nephrology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.