Individual provider Active NPI

Tala Porter, M.D.

  • Pediatrics Physician
  • Lubbock, TX
National Provider Identifier
1730567710
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R7571 Issued in TX
Practice address
5202 82ND St
Lubbock, TX 79424-2823
Phone
(806) 725-7337
Fax
(806) 723-7002
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X R7571 TX
Pediatrics Physician 208000000X R7571 TX Primary

Addresses

Primary practice location

5202 82ND St
Lubbock, TX 79424-2823

Mailing address

2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844

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
I20180823001151 TX Practitioner - Pediatric MedicinePractitioner - Hospitalist 4183913601 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Pediatrics CurrentSince Jul 1, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jul 1, 2019 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 1, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center El Paso Pediatrics CurrentSince Jul 1, 2019 Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Methodist Children'S Hospital Past Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

4015 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0000

Interoperability endpoints

  • Direct secure messaging: tala.porter@direct.myteamcare.com

Organizations & group practices 8

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1730567710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NASHVILLE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101105",
            "telephone_number": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242823",
            "telephone_number": "806-725-7337",
            "fax_number": "806-723-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "TALA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R7571",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R7571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.