Individual provider Active NPI

Patricia R. Arledge, M.D.

  • Plastic Surgery Physician
  • Lubbock, TX
National Provider Identifier
1699876201
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
K9992 Issued in TX
Practice address
3502 9TH St.
Suite 270
Lubbock, TX 79415
Phone
(806) 788-5598
Fax
(806) 788-0598
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X K9992 TX Primary

Addresses

Primary practice location

3502 9TH St.
Suite 270
Lubbock, TX 79415

Mailing address

3502 9TH St.
Suite 270
Lubbock, TX 79415
Phone (806) 788-5598

Other identifiers 6

IdentifierTypeStateIssuer
B6365OtherNMMEDICAID
106097202OtherCIDC
107672101OtherFIRSTCARE MEDICAID
8A1972OtherBLUE CROSS BLUE SHIELD
106097201MedicaidTX
107672100OtherFIRSTCARE/SWLH

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
I20100129000116 TX Practitioner - Plastic and Reconstructive Surgery 3173665155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Texas Tech University Health Science Center School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4642 N Loop
289 Suite 203
Lubbock, TX 79416-2424
Phone (806) 788-5598

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia R. Arledge, MD, PLLC Plastic Surgery CurrentSince Dec 1, 2009 Accepting new patients
Umc Physicians Past Accepting new patients
Benjamin J. Williams MD, PHD, PA PastSince Dec 1, 2009 Accepting new patients

Locations

3502 9th St
Ste 270
Lubbock, TX 79415
Phone (806) 744-1171

4642 N Loop 289
Ste 203
Lubbock, TX 79416
Phone (806) 722-3030

Interoperability endpoints

  • Direct secure messaging: patricia.arledge@direct.myteamcare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1699876201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 9TH ST.",
            "address_2": "SUITE 270",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79415",
            "telephone_number": "806-788-5598",
            "fax_number": "806-788-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 9TH ST.",
            "address_2": "SUITE 270",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79415",
            "telephone_number": "806-788-5598",
            "fax_number": "806-788-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARLEDGE",
        "first_name": "PATRICIA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "K9992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "B6365",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIDC",
            "identifier": "106097202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE MEDICAID",
            "identifier": "107672101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8A1972",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106097201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE/SWLH",
            "identifier": "107672100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.