Individual provider Active NPI

Susan McCartney, MD

  • Internal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1932668043
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H3119 Issued in TX
Practice address
1610 5TH St
Lubbock, TX 79401-2622
Phone
(806) 765-2611
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H3119 TX Primary

Addresses

Primary practice location

1610 5TH St
Lubbock, TX 79401-2622

Mailing address

117 N Pontiac Ave
Lubbock, TX 79416-3733
Phone (806) 470-2401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190910003484 TX Practitioner - Internal Medicine 4587993985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Lubbock, Inc. 16 clinicians

Practice addresses (Care Compare)

1610 5TH St
Lubbock, TX 79401-2622
Phone (806) 765-2611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H3119TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Lubbock, Inc. Current Accepting new patients
Community Health Center of Lubbock, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Community Health Center of Lubbock, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Community Health Center of Lubbock, Inc Past Accepting new patients

Locations

1610 5th St
Lubbock, TX 79401
Phone (806) 763-9999

3502 9th St
Ste 280
Lubbock, TX 79415
Phone (806) 743-3085

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1932668043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N PONTIAC AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163733",
            "telephone_number": "806-470-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 5TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012622",
            "telephone_number": "806-765-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H3119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.