Nayankumar Amrutbhai Patel, MD
Individual provider Active NPI Nephrology Physician · Lubbock, TX
NPI 1972796985 · NPPES record last updated Mar 29, 2022
Key facts
- NPI
- 1972796985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- M8241 (TX)
- Practice address
- 1126 Slide Road
Suite 4B
Lubbock, TX 79407-5402 - Phone
- (806) 793-8447
- Fax
- (806) 792-7887
- NPI assigned
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lubbock Kidney and Blood Pressure Clinic P a
Practice addresses (Care Compare)
1126 Slide Rd
Unit 4B
Lubbock, TX 79416-5402
Phone (806) 793-8447
2827 N Dal Paso St
Suite 105
Hobbs, NM 88240-2062
Phone (806) 793-8447
3921 N Calle Grande
Hobbs, NM 88240-1326
Phone (806) 793-8447
Hospital & facility affiliations
- 322547-Kidney Care Center-Hobbs
- Kidney Care Center Lubbock
- Usrc Clovis Dialysis
- DaVita Brownfield Dialysis
- Dialysis Services of West Texas
- Covenant Medical Center
- Nor-Lea Hospital District
- Grace Surgical Hospital
- Roosevelt General Hospital
- Cogdell Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080222000094 | TX | Practitioner - Nephrology |
7517041023 | Reassigns benefits to 1 organization |
| I20120425000529 | NM | Practitioner - Internal Medicine | 7517041023 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2007-0494 | NM | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elgin Dialysis LLC | Past |
Accepting new patients | |
| Dawson County Hospital District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD2007-0494 | NM | |
| Nephrology Physician | 207RN0300X | M8241 | TX | Yes |
Addresses
Primary practice location
1126 Slide Road
Suite 4B
Lubbock, TX 79407-5402
Mailing address
1126 Slide Rd
Unit 4B
Lubbock, TX 79416-5402
Phone (806) 792-7887
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8CK908 | Other | TX | BLUE CROSS & BLUE SHIELD OF TEXAS |
NPI Registry JSON
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1972796985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 SLIDE RD",
"address_2": "UNIT 4B",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794165402",
"telephone_number": "806-792-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 SLIDE ROAD",
"address_2": "SUITE 4B",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794075402",
"telephone_number": "806-793-8447",
"fax_number": "806-792-7887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NAYANKUMAR",
"middle_name": "AMRUTBHAI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NM",
"license": "MD2007-0494",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "M8241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD OF TEXAS",
"identifier": "8CK908",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
- Henykumar D Patel
- Jay Patel
- Jigna Patel
- Maulin Patel
- Meet M Patel
- Nilesh Devabhai Patel
- Niraj Patel
- Parimal Patel
- Satish Patel
- Shailen Patel
All providers in Lubbock, TX · Nephrology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.