Individual provider Active NPI

Yvette Corinne Tomacruz, M.D.

  • Internal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1700018991
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N2846 Issued in TX
Practice address
1126 Slide Rd
Suite 4-B
Lubbock, TX 79416-5402
Phone
(806) 793-8447
Fax
(806) 793-0498
NPI assigned
Aug 20, 2009
Last updated
Aug 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N2846 TX Primary

Addresses

Primary practice location

1126 Slide Rd
Suite 4-B
Lubbock, TX 79416-5402

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
FT1597294OtherTXCONTROLLED SUBSTANCE REGISTRATION CERTIAFICATE
N0167574OtherTXDPS CERTIFICATE

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
I20091118000275 TX Practitioner - NephrologyPractitioner - Internal Medicine 8628116316 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Interventional Nephrology Associates PA CurrentSince Oct 24, 2018 Accepting new patients

Locations

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

Organizations & group practices 2

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1700018991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 SLIDE RD",
            "address_2": "SUITE 4-B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165402",
            "telephone_number": "806-793-8447",
            "fax_number": "806-793-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 SLIDE RD",
            "address_2": "SUITE 4-B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165402",
            "telephone_number": "806-793-8447",
            "fax_number": "806-793-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMACRUZ",
        "first_name": "YVETTE",
        "middle_name": "CORINNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N2846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION CERTIAFICATE",
            "identifier": "FT1597294",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS CERTIFICATE",
            "identifier": "N0167574",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.