WEI-MIN DJAJADI M.D.
NPI 1316175995
Pediatrics in Lubbock, TX

Q: What is Wei-min Djajadi's NPI number?

The NPI number for Wei-min Djajadi is 1316175995. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Q: What is Wei-min Djajadi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Wei-min Djajadi was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2009PECOS Enrolled

3601 4TH ST FL 3, LUBBOCK, TX 79430(806) 743-7335(806) 743-4073 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 23, 2018, Aug 12, 2018 (2 updates tracked since 2018).

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About Wei-min Djajadi M.d. NPPES

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

WEI-MIN DJAJADI M.D. (NPI 1316175995) is an individual pediatrics provider in Lubbock, Texas, licensed in Texas (P8351) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1316175995

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameWEI-MIN DJAJADICredential: M.D.

Location Address3601 4TH ST FL 3Lubbock, TX 79430-0002

Mailing AddressPo Box 5865Lubbock, TX 79408-5865 · (806) 743-2898 · Fax (806) 743-2787

Phone(806) 743-7335

Fax(806) 743-4073

Sole ProprietorNo

Enumeration DateJune 23, 2009

Last NPPES UpdateOctober 27, 20212 updates tracked since enumeration

NPPES CertifiedOctober 27, 2021

✔ NPI 1316175995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · P8351

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3601 4TH ST FL 3, Lubbock, TX 79430

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Secondary Practice Location 1

Location 13601 4th Street, Mail Stop 9406Lubbock, TX 79430 · Phone (806) 743-7337 · Fax (806) 743-4218

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wei-min Djajadi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Wei-min Djajadi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Tech University Health Sciences Center Lubbock

2.2 mi

Podiatrist

3601 4TH ST
Lubbock, TX 79430

Reassigned Medicare billing, Texas enrollment
685 clinicians in this Medicare group

NPI 1538239769 (806) 743-2475

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

JASMINE ESTELLE

Nurse Practitioner (Obstetrics & Gynecology)