Active NPI
Ben Thiravetyan, M.D.
- Student in an Organized Health Care Education/Training Program
- Lubbock, TX
National Provider Identifier
1881434926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3601 Fourth Street, Ttuhsc Department of Internal Medic
Lubbock, TX 79430 - Phone
- (806) 743-6840
- NPI assigned
- May 28, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3601 Fourth Street, Ttuhsc Department of Internal Medic
Lubbock, TX 79430
Mailing address
3601 Fourth Street, Ttuhsc Department of Internal Medic
Lubbock, TX 79430
Phone (806) 743-6840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1881434926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 FOURTH STREET, TTUHSC DEPARTMENT OF INTERNAL MEDIC",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79430",
"telephone_number": "806-743-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 FOURTH STREET, TTUHSC DEPARTMENT OF INTERNAL MEDIC",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79430",
"telephone_number": "806-743-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIRAVETYAN",
"first_name": "BEN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-28",
"last_updated": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Chelsea Thero, PTA
- Justin Thetford, MS, LPC-ASSOCIATE
- Thi Immediate Healthcare Staffing LLC
- Thi of Texas at Lubbock I LLC
- Thi of Texas at Lubbock II, LLC
- Seshadri D Thirumala, MD
- THMS Inc
- Thomas F. Neal, M.D., Stan E. Potocki, M.D., Professional Association
- Thomas Neumann, M.D., P.a.
- Amie Hope Thomas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.