Individual provider Active NPI

Medhat Guirguis, MD

  • Psychiatry Physician
  • Lubbock, TX
National Provider Identifier
1689995649
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P8907 Issued in TX
Practice address
3601 4TH St
Stop 8103
Lubbock, TX 79430
Phone
(806) 743-2800
Fax
(806) 743-1262
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Psychiatry Physician 2084P0800X P8907 TX Primary

Addresses

Primary practice location

3601 4TH St
Stop 8103
Lubbock, TX 79430

Mailing address

103 Bob O Link CT
Southlake, TX 76092-5849
Phone (806) 401-1759

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
I20141124001549 TX Practitioner - Psychiatry 6103148473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Psychiatry IncGroup PAC ID 2264785948, 2 clinicians

Practice addresses (Care Compare)

4941 Golden Triangle Blvd
Suite 911
Fort Worth, TX 76244-4456
Phone (817) 779-3716

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P8907TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince May 4, 2021 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Mercy Psychiatry Inc CurrentSince Jul 1, 2019 Accepting new patients
Health and Human Services Commission Psychiatry CurrentSince May 4, 2021 Accepting new patients
Texas Texas University Health Sciences Center Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

1901 N US Highway 87
Big Spring, TX 79720
Phone (432) 267-8216

4941 Golden Triangle Blvd
Ste 911
Fort Worth, TX 76244
Phone (817) 779-3716

8217 Mid Cities Blvd
Ste 300
North Richlnd Hls, TX 76182
Phone (817) 393-2424

Interoperability endpoints

  • Direct secure messaging: medhat.guirguis@direct.myteamcare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1689995649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BOB O LINK CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925849",
            "telephone_number": "806-401-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST",
            "address_2": "STOP 8103",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79430",
            "telephone_number": "806-743-2800",
            "fax_number": "806-743-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIRGUIS",
        "first_name": "MEDHAT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P8907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.