Individual provider Active NPI

Gayane Chalyan, D.O.

  • Emergency Medicine Physician
  • Lubbock, TX
National Provider Identifier
1891134748
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO2781 Issued in NV
Practice address
4810 N Loop 289
Lubbock, TX 79416-3025
Phone
(806) 472-5373
NPI assigned
Jun 24, 2013
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO2781 NV Primary
Internal Medicine Physician 207R00000X 20A15535 CA
Internal Medicine Physician 207R00000X S8162 TX

Addresses

Primary practice location

4810 N Loop 289
Lubbock, TX 79416-3025

Mailing address

4810 N Loop 289
Lubbock, TX 79416-3025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, NV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190307002228 CA Practitioner - Internal Medicine 4688913783
I20201015000585 TX Practitioner - Internal Medicine 4688913783 Reassigns benefits to 6 organizations
I20241011002302 NV Practitioner - Emergency Medicine 4688913783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
College of Osteo Med of the Pacific at Pomona, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Emergency Group LLCGroup PAC ID 0345508768, 21 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

540 W 15TH St
Hereford, TX 79045-2820
Phone (806) 364-2141

705 E Felt St
Brownfield, TX 79316-3499
Phone (806) 637-3551

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2781NVMDEmergency Medicine Physician
20A15535CAMDInternal Medicine Physician
15535CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Staffing Solutions of West Texas LLC Emergency Medicine CurrentSince Mar 15, 2024 Accepting new patients
Team Physicians of Nevada-Scherr, P.C. Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Ess of Lubbock, LLC Emergency Medicine CurrentSince Jul 31, 2022 Accepting new patients
Texas Emergency Group LLC Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Lamb Healthcare Center CurrentSince May 1, 2025 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Lamb Healthcare Center CurrentSince May 1, 2025 Accepting new patients
Ess of Port Lavaca LLC Emergency Medicine CurrentSince Dec 14, 2023 Accepting new patients

Locations

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

1 Saint Marks Pl
La Grange, TX 78945
Phone (979) 242-2102

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

4810 N Loop 289
Lubbock, TX 79416
Phone (806) 687-7777

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1891134748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 N LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 N LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163025",
            "telephone_number": "806-472-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALYAN",
        "first_name": "GAYANE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO2781",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A15535",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S8162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.