Lubbock Nephrology Associates, P.a.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

L7888 Issued in TX

Legal business name

LUBBOCK NEPHROLOGY ASSOCIATES, P.A.

Practice address

3708 22ND PL
Suite a
Lubbock, TX 79410-1351

Phone

(806) 771-7412

Fax

(806) 771-7414

NPI assigned

Jul 17, 2007

Last updated

Apr 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maybin Simfukwe, M.D.NPI 1689635559

Title

President

Phone

(806) 771-1386

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: elmoutazmousa@lubbockneph.allscriptsdirect.net
• Direct secure messaging: maybinsimfukwe@lubbockneph.allscriptsdirect.net
• Direct secure messaging: sorotphisitkul@lubbockneph.allscriptsdirect.net

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maybin Simfukwe, MD

  • Nephrology Physician
  • Lubbock, TX
  • NPI 1689635559

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Leticia Luna Flores Cooper, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1841826724
  Medicare reassignment Care Compare group NPD
• Elmoutaz Tawfig Mousa, M.D.

  • Nephrology Physician
  • Lubbock, TX
  • NPI 1124287735

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Sorot Phisitkul, MD

  • Nephrology Physician
  • Lubbock, TX
  • NPI 1457576704

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Michele Leigh Foster, APRN-FNP

  • Nurse Practitioner
  • Midland, TX
  • NPI 1689326548
  Medicare reassignment NPD
• Lyndsey Dawn Montgomery, FNP-C

  • Family Nurse Practitioner
  • Odessa, TX
  • NPI 1558288993
  NPD
• Jeanette Michelle Hastings, FNP-BC

  • Family Nurse Practitioner
  • Levelland, TX
  • NPI 1023692829
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1760681001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54136",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794534136",
            "telephone_number": "806-771-1386",
            "fax_number": "806-771-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 22ND PL",
            "address_2": "SUITE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101351",
            "telephone_number": "806-771-7412",
            "fax_number": "806-771-7414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2232 Indiana Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794102147",
            "country_code": "US",
            "telephone_number": "806-771-1386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3180 Executive Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769046837",
            "country_code": "US",
            "telephone_number": "806-771-7412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUBBOCK NEPHROLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "SIMFUKWE",
        "authorized_official_first_name": "MAYBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-771-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7888",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L7888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191390701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.