INNA KAMINECKI MD
NPI 1033569058
Pediatrics - Pediatric Emergency Medicine in Lubbock, TX

Q: What is Inna Kaminecki's NPI number?

The NPI number for Inna Kaminecki is 1033569058. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is Inna Kaminecki's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Inna Kaminecki was last updated on January 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment

602 INDIANA AVE, LUBBOCK, TX 79415(806) 775-8200 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2023, Jan 3, 2023, Jul 17, 2019 and 1 more (4 updates tracked since 2016).

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About Inna Kaminecki Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNA KAMINECKI MD (NPI 1033569058) is an individual pediatric emergency medicine provider in Lubbock, Texas, licensed in Texas (T6922) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1033569058

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameINNA KAMINECKICredential: MD

Location Address602 INDIANA AVELubbock, TX 79415-3364

Mailing Address2206 Wayne AveLubbock, TX 79407-2228 · (302) 332-5656

Phone(806) 775-8200

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJune 21, 2016

Last NPPES UpdateJanuary 18, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2023

✔ NPI 1033569058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in TX · T6922

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 82332 (GA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

602 INDIANA AVE, Lubbock, TX 79415

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Secondary Practice Locations 2

Location 11120 15th StAugusta, GA 30912-6303 · Phone (706) 721-5592

Location 2300 2nd AveLong Branch, NJ 07740-6303 · Phone (732) 923-7250 · Fax (732) 923-9255

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Inna Kaminecki Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517338635

PECOS Enrollment IDI20230126002927

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEERAPONG LILITWAT MD

Pediatrics (Pediatric Critical Care Medicine)