Individual provider Active NPI

David Ray Lunow, MD

  • Emergency Medicine Physician
  • Cleburne, TX
National Provider Identifier
1871539965
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M3633 Issued in TX
Practice address
504 N Ridgeway Dr Ste C
Cleburne, TX 76033-5155
Phone
(817) 885-5730
Fax
(817) 989-2709
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X M3633 TX
Emergency Medicine Physician 207P00000X M3633 TX Primary

Addresses

Primary practice location

504 N Ridgeway Dr Ste C
Cleburne, TX 76033-5155

Mailing address

3723 W 4TH St
Fort Worth, TX 76107-2008
Phone (817) 675-6529

Other identifiers 2

IdentifierTypeStateIssuer
180669701MedicaidTX
0035NSOtherTXBCBS

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
I20060816000212 TX Practitioner - Emergency MedicinePractitioner - Family Practice 8820091663 Reassigns benefits to 2 organizations
Practice locations: Cleburne, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3633TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huguley Emergency Physicians, LLP CurrentSince Nov 1, 2007 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Apr 15, 2013 Accepting new patients
Pinnacle Anesthesia PL Past Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

719 W Coke Rd
Winnsboro, TX 75494
Phone (903) 342-3961

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1871539965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 W 4TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072008",
            "telephone_number": "817-675-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N RIDGEWAY DR STE C",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335155",
            "telephone_number": "817-885-5730",
            "fax_number": "817-989-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNOW",
        "first_name": "DAVID",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "M3633",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M3633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180669701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0035NS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.