NPIMap

Individual provider Active NPI

Clarence Joseph Wheeler III, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Lubbock, TX
National Provider Identifier
1699776732
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
F7299 Issued in TX
Practice address
1126 Slide Rd
4B
Lubbock, TX 79416-5402
Phone
(806) 793-8447
Fax
(806) 687-0337
NPI assigned
Aug 10, 2005
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F7299 TX
Sleep Medicine (Internal Medicine) Physician 207RS0012X F7299 TX Primary

Addresses

Primary practice location

1126 Slide Rd
4B
Lubbock, TX 79416-5402

Mailing address

1126 Slide Rd
Suite 4B
Lubbock, TX 79416-5402
Phone (806) 793-8447

Other identifiers 3

IdentifierTypeStateIssuer
87E200OtherTXBC/BS
000G8915MedicaidNM
120521303MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050322000583 TX Practitioner - Internal MedicinePractitioner - Nephrology 0446169478 Reassigns benefits to 3 organizations
I20120406000356 NM Practitioner - Nephrology 0446169478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of Texas Medical School at San Antonio, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1126 Slide Rd
Unit 1
Lubbock, TX 79416-5402
Phone (806) 792-2222

3921 N Calle Grande
Hobbs, NM 88240-1326
Phone (806) 793-8447

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F7299TXMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Interventional Nephrology Associates PA CurrentSince Oct 24, 2018 Accepting new patients
Vascular Bone and Sleep Enterprises, PA Sleep Medicine CurrentSince Oct 1, 2019 Accepting new patients
The Kidney Care Center, LLC PastSince Nov 7, 2011 Accepting new patients
Wilbarger County Hospital District PastSince Apr 7, 2003 Accepting new patients

Locations

1126 Slide Rd
Unit 1
Lubbock, TX 79416
Phone (806) 792-2222

Interoperability endpoints

  • Direct secure messaging: cjwheeler@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1699776732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 SLIDE RD",
            "address_2": "SUITE 4B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165402",
            "telephone_number": "806-793-8447",
            "fax_number": "806-687-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 SLIDE RD",
            "address_2": "4B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165402",
            "telephone_number": "806-793-8447",
            "fax_number": "806-687-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "CLARENCE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F7299",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "F7299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "87E200",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G8915",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120521303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.