Individual provider Active NPI

Nayankumar Amrutbhai Patel, MD

  • Nephrology Physician
  • Lubbock, TX
National Provider Identifier
1972796985
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M8241 Issued in 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
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD2007-0494 NM
Nephrology Physician 207RN0300X M8241 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080222000094 TX Practitioner - NephrologyPractitioner - Internal Medicine 7517041023 Reassigns benefits to 1 organization
I20120425000529 NM Practitioner - Internal Medicine 7517041023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dawson County Hospital District Past Accepting new patients
Elgin Dialysis LLC PastSince Jun 1, 2012 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.