LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P.
NPI 1215028501
Radiology - Diagnostic Radiology in Lubbock, TX

Q: What is Lubbock Diagnostic Radiology, L.L.P.'s NPI number?

The NPI number for Lubbock Diagnostic Radiology, L.L.P. is 1215028501. It was assigned to this organization in the NPPES registry on September 28, 2006.

Q: What is Lubbock Diagnostic Radiology, L.L.P.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since September 28, 2006

4005 24TH ST, LUBBOCK, TX 79410(806) 792-2767(888) 861-8858 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lubbock Diagnostic Radiology, L.l.p. NPPES

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

LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P. (NPI 1215028501) is a healthcare organization registered as a diagnostic radiology in Lubbock, Texas and active in the NPI registry since September 2006. The organization lists Monty Medanich, C.o.o., as its authorized official.

NPPES Registry Identity

NPI1215028501

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameLUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P.

Location Address4005 24TH STLubbock, TX 79410-1835

Mailing AddressPo Box 1620Lubbock, TX 79408-1620 · (806) 792-2767 · Fax (806) 791-6709

Phone(806) 792-2767

Fax(888) 861-8858

Organization SubpartNo

Authorized OfficialMonty MedanichC.o.o. · (806) 792-2767

Enumeration DateSeptember 28, 2006

Last NPPES UpdateNovember 4, 2021

NPPES CertifiedNovember 4, 2021

✔ NPI 1215028501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

4005 24TH ST, Lubbock, TX 79410

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Other Identifiers 4

Other0094EETX · Blue Cross

OtherCG7043Railroad Medicare

Medicaid095055202TX

Other62866New Mexico Medicaid

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lubbock Diagnostic Radiology, L.l.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTexasEnrollment IDO20031219000036Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 19 clinicians reassign Medicare billing to Lubbock Diagnostic Radiology, L.L.P., which bills Medicare for the services they deliver. Of these, 13 practice at this address and 18 within 10 miles. They are listed nearest first.