Individual provider Active NPI

Dharmendra Kumar

  • Neonatal-Perinatal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1689954794
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
R7794 Issued in TX
Practice address
Covenant Children's Hospital
4000 24TH Street
Lubbock, TX 79410
Phone
(806) 725-6241
NPI assigned
Aug 19, 2011
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X R7794 TX Primary

Addresses

Primary practice location

Covenant Children's Hospital
4000 24TH Street
Lubbock, TX 79410

Mailing address

Covenant Children's Hospital
4000 24TH Street
Lubbock, TX 79410

Other practice location 1

Covenant Children's Hospital
4000 24th Street
Lubbock, TX 79410
Phone (806) 725-6241

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
I20251016005081 TX Practitioner - Pediatric Medicine 9133616600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2215 Nashville Ave
Lubbock, TX 79410-1105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Covenant Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Methodist Children's Hospital Past Accepting new patients

Locations

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

4000 24th St
Lubbock, TX 79410
Phone (806) 725-0000

4102 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0237

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, 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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1689954794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COVENANT CHILDREN'S HOSPITAL",
            "address_2": "4000 24TH STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COVENANT CHILDREN'S HOSPITAL",
            "address_2": "4000 24TH STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-725-6241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Covenant Children's Hospital",
            "address_2": "4000 24th Street",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "79410",
            "country_code": "US",
            "telephone_number": "806-725-6241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "DHARMENDRA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "R7794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.