Active NPI
Samuel Andrew Hale Jr.
- Family Medicine Physician
- Lubbock, TX
National Provider Identifier
1851369185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F6700
- Practice address
- 6809 Slide Road
Lubbock, TX 79424 - Phone
- (806) 794-6886
- Fax
- (806) 783-0709
- NPI assigned
- Mar 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F6700 | TX | Primary |
Addresses
Primary practice location
6809 Slide Road
Lubbock, TX 79424
Mailing address
6809 Slide Road
Lubbock, TX 79424
Phone (806) 794-6886
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050310000577 | TX | Practitioner - Family Practice | 0143274258 | Practice locations: Lubbock, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4903 82ND St
Suite 10
Lubbock, TX 79424-3123
Phone (806) 794-6886
Hospital & facility affiliations
- Grace Surgical Hospital
- Covenant Childrens Hospital
- University Medical Center
- Lamb Healthcare Center
- Covenant Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 26.14 of 100
- Quality
- 15
- Improvement activities
- 0
- Cost
- 67.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F6700 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Family Medicine | Past | Accepting new patients |
| Aspire Primary Care Partners PLLC | Past | Accepting new patients | |
| Covenant Medical Group | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- samuel.hale@direct.myteamcare.com
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.
-
- Physician Assistant
- Lubbock, TX
- NPI 1629931035
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1376598904
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
- General Acute Care Hospital
- Littlefield, TX
- NPI 1700854288
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1225289499
-
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1851369185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6809 SLIDE ROAD",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79424",
"telephone_number": "806-794-6886",
"fax_number": "806-783-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6809 SLIDE ROAD",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79424",
"telephone_number": "806-794-6886",
"fax_number": "806-783-0709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "SAMUEL",
"middle_name": "ANDREW",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-11",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F6700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.