NPIMap

Individual provider Active NPI

Larry A Warmoth, M.D.

  • Nephrology Physician
  • Lubbock, TX
National Provider Identifier
1902891815
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J4599 Issued in TX
Practice address
3801 21St St Ste 200
Lubbock, TX 79410-1006
Phone
(806) 687-0338
Fax
(806) 687-4326
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X J4599 TX Primary

Addresses

Primary practice location

3801 21St St Ste 200
Lubbock, TX 79410-1006

Mailing address

4901 S Loop 289 Unit 65309
Lubbock, TX 79464-6956
Phone (806) 794-8413

Other identifiers 3

IdentifierTypeStateIssuer
223865699OtherTRICARE
0086JPOtherTXBLUE CROSS BLUE SHIELD
117567107MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000723 TX Practitioner - NephrologyPractitioner - Internal Medicine 6709830086 Reassigns benefits to 1 organization
Practice locations: Lubbock, TX

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 21St St
Suite 200
Lubbock, TX 79410-1006
Phone (806) 687-0338

Hospital & facility affiliations

  • Usrc Lubbock Dialysis facility, Lubbock, TX, CCN 672593
  • Excelacare Home Health Home health agency, Lubbock, TX, CCN 677566
  • Direct Health Care Inc Home health agency, Lubbock, TX, CCN 677264
  • Enlightened Heights Hospice and Palliative Care Hospice, Lubbock, TX, CCN 971510
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
  • Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305

Merit-based Incentive Payment System (MIPS)

Final score
21.43 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hub City Surgery Center, LLC CurrentSince Jul 5, 2024 Accepting new patients
Kidney Disease Specialists of West Texas PA Nephrology Past Accepting new patients

Locations

2232 Indiana Ave
Ste 1
Lubbock, TX 79410
Phone (806) 395-4705

Interoperability endpoints

  • Direct secure messaging: larry.warmoth@direct.myteamcare.com
  • Direct secure messaging: lwarmoth@yourcarecommunity.org
  • Direct secure messaging: larryawarmothmd.warmothlarry@140088.advancedmd-direct.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Excelacare HospiceLubbock, TX, CCN 671561 Hospice Limited Partnership Interest (1%) Feb 8, 2012
Excelacare HospiceMidland, TX, CCN 671669 Hospice Limited Partnership Interest (2%) Jan 3, 2024
Magnolia HospiceWaco, TX, CCN 671795 Hospice Limited Partnership Interest (1%) Feb 8, 2012
Bridge HospiceLubbock, TX, CCN 971510 Hospice 5% Or Greater Direct Ownership Interest (5%)
W-2 Managing Employee (5%)		 May 31, 2023
May 31, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1902891815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 S LOOP 289 UNIT 65309",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794646956",
            "telephone_number": "806-794-8413",
            "fax_number": "806-407-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 21ST ST STE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101006",
            "telephone_number": "806-687-0338",
            "fax_number": "806-687-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARMOTH",
        "first_name": "LARRY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J4599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "223865699",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0086JP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117567107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.