NPIMap

Individual provider Active NPI

Randy Kyle Rozean, MD

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1932163003
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H1314 Issued in TX
Practice address
5815 82ND St
Lubbock, TX 79424-3654
Phone
(806) 794-3000
Fax
(806) 698-0847
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H1314 TX Primary

Addresses

Primary practice location

5815 82ND St
Lubbock, TX 79424-3654

Mailing address

5815 82ND St
Lubbock, TX 79424-3654
Phone (806) 794-3000

Other identifiers 1

IdentifierTypeStateIssuer
141103501MedicaidTX

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
I20060912000457 TX Practitioner - Family Practice 5991709602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Healthcare of Lubbock LLCGroup PAC ID 1153327366, 2 clinicians

Practice addresses (Care Compare)

5915 82ND St
Lubbock, TX 79424-3673
Phone (806) 794-3000

Hospital & facility affiliations

  • Calvert Home Health Care, LLC Home health agency, Lubbock, TX, CCN 677109
  • Excelacare Home Health Home health agency, Lubbock, TX, CCN 677566
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Lamb Healthcare Center Hospital, Littlefield, TX, CCN 450698

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H1314TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Healthcare of Lubbock, LLC Family Medicine CurrentSince Jun 1, 2006 Accepting new patients
Covenant Medical Group Family Medicine Past Accepting new patients
Covenant Health System Past Accepting new patients
Covenant Medical Group Family Medicine PastSince Apr 21, 2024 Accepting new patients

Locations

5915 82nd St
Lubbock, TX 79424
Phone (806) 794-3000

Organizations & group practices 4

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 11

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1932163003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243654",
            "telephone_number": "806-794-3000",
            "fax_number": "806-698-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243654",
            "telephone_number": "806-794-3000",
            "fax_number": "806-698-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZEAN",
        "first_name": "RANDY",
        "middle_name": "KYLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H1314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141103501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.