Individual provider Active NPI

Luke R Hinshaw, MD

  • Internal Medicine Physician
  • Pampa, TX
National Provider Identifier
1720074859
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L8077 Issued in TX
Practice address
3023 Perryton Pkwy Ste 101
Pampa, TX 79065-2817
Phone
(806) 665-0801
Fax
(806) 665-8503
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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 L8077 TX Primary

Addresses

Primary practice location

3023 Perryton Pkwy Ste 101
Pampa, TX 79065-2817

Mailing address

3023 Perryton Pkwy Ste 101
Pampa, TX 79065-2817
Phone (806) 665-0801

Other identifiers 1

IdentifierTypeStateIssuer
166797406MedicaidTX

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
I20040804001700 TX Practitioner - Internal Medicine 3173594819 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trevor Rohm MD PA CurrentSince May 1, 2022 Accepting new patients
SPMG Signature Pampa Medical Group Internal Medicine PastSince Nov 12, 2018 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

6900 W Interstate 40
Ste 150
Amarillo, TX 79106
Phone (806) 372-7696

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1720074859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 PERRYTON PKWY STE 101",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652817",
            "telephone_number": "806-665-0801",
            "fax_number": "806-665-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 PERRYTON PKWY STE 101",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652817",
            "telephone_number": "806-665-0801",
            "fax_number": "806-665-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSHAW",
        "first_name": "LUKE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166797406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pampa, TX

Sources for this page

Verify at the official NPI Registry.