Premilla Diana Pinto-Kini, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G2091 Issued in TX

Practice address

1318 Broadway
Lubbock, TX 79401-3206

Phone

(806) 765-2611

Fax

(806) 687-9894

NPI assigned

Nov 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premilla Diana Pinto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1932437621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 BROADWAY STE 5",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013209",
            "telephone_number": "806-765-2605",
            "fax_number": "806-765-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 BROADWAY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013206",
            "telephone_number": "806-765-2611",
            "fax_number": "806-687-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO-KINI",
        "first_name": "PREMILLA",
        "middle_name": "DIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G2091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451869",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PREMILLA",
            "last_name": "PINTO",
            "middle_name": "DIANA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pinnacle Imaging, LP
• Mario L Pinoli, M.D.
• Marleyna Pinon
• Courtney Pinson
• Chase Pinter
• Jose E Pinto, MD
• Shacambre Au'Jna Pipkins
• Mariana Piratello, P.A.
• Floyd Pirtle, M.D.
• Floyd Andrew Pirtle, MD

• Family Medicine Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.