Individual provider Active NPI

Kathryn Hines, MD

  • Internal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1831161769
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K7166 Issued in TX
Practice address
808 Joliet Ave Unit 220
Lubbock, TX 79415-1158
Phone
(067) 610-5668
Fax
(806) 744-7252
NPI assigned
Feb 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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 K7166 TX Primary

Addresses

Primary practice location

808 Joliet Ave Unit 220
Lubbock, TX 79415-1158

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0333

Other practice location 1

5406 Colgate Street
Lubbock, TX 79416
Phone (806) 507-3500

Other identifiers 1

IdentifierTypeStateIssuer
037658403MedicaidTX

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
I20120501000671 TX Practitioner - Internal Medicine 9830122951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael McPherson MD PAGroup PAC ID 7315271400, 10 clinicians

Practice addresses (Care Compare)

4302 Princeton St
Lubbock, TX 79415-1304
Phone (806) 749-2222

Merit-based Incentive Payment System (MIPS)

Final score
11.86 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
39.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7166TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael McPherson, M.D. P.a. Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

4510 27th St
Lubbock, TX 79410
Phone (806) 776-0639

4302 Princeton St
Lubbock, TX 79415
Phone (806) 740-8400

5406 Colgate St
Lubbock, TX 79416
Phone (806) 507-3500

10507 Quaker Ave
Unit 101
Lubbock, TX 79424
Phone (806) 368-8311

Interoperability endpoints

  • Direct secure messaging: kathryn.hines@direct.myteamcare.com

Organizations & group practices 1

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": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1831161769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "806-761-0333",
            "fax_number": "806-785-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 JOLIET AVE UNIT 220",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794151158",
            "telephone_number": "067-610-5668",
            "fax_number": "806-744-7252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5406 Colgate Street",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "79416",
            "country_code": "US",
            "telephone_number": "806-507-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-04",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037658403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.