CLAIR PARK DO
NPI 1316638364
Pediatrics in Lubbock, TX

Q: What is Clair Park's NPI number?

The NPI number for Clair Park is 1316638364. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Q: What is Clair Park'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 Clair Park was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 18, 2023PECOS Enrolled

3601 4TH ST STOP 9406, LUBBOCK, TX 79430(806) 743-7660 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clair Park Do NPPES

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

CLAIR PARK DO (NPI 1316638364) is an individual pediatrics provider in Lubbock, Texas, licensed in Texas (BP10083601) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316638364

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCLAIR PARKCredential: DO

Location Address3601 4TH ST STOP 9406Lubbock, TX 79430-9406

Mailing Address3601 4th St Stop 9406Lubbock, TX 79430-9406 · (806) 743-7660

Phone(806) 743-7660

Sole ProprietorYes

Enumeration DateMay 18, 2023

NPPES CertifiedMay 18, 2023

✔ NPI 1316638364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · BP10083601

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 STOP 9406, Lubbock, TX 79430

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clair Park Do 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.

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 9

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

JORDAN LAPIRA DO

Student in an Organized Health Care Education/Training Program

3601 4TH ST STOP 9406
LUBBOCK, TX 79430

Lubbock County (806) 743-2244

AISHWARYA KAMALA DEVARAKONDA M.D.

Pediatrics

3601 4TH ST STOP 9406
LUBBOCK, TX 79430

Lubbock County (806) 743-6630

DR. BAILEY MICHELE VILLEDA MD

Student in an Organized Health Care Education/Training Program

3601 4TH ST STOP 9406
LUBBOCK, TX 79430

Lubbock County (806) 743-6630

PAOLA HONG ZHU MD

Student in an Organized Health Care Education/Training Program

3601 4TH ST STOP 9406
LUBBOCK, TX 79430

Lubbock County (806) 743-2244

RITIKA MALLAVARAPU RODGERS MD

Pediatrics

3601 4TH ST STOP 9406
LUBBOCK, TX 79430

Lubbock County (806) 743-6630

KELSEY ANN BROCK MD

Student in an Organized Health Care Education/Training Program

3601 4TH ST STOP 9406
LUBBOCK, TX 79430

Lubbock County (806) 743-6630

DR. REBEKAH GRACE PHILLIPS M.D.

Hospitalist

3601 4TH ST STOP 9406, DEPARTMENT OF PEDIATRICS TTUHSC
LUBBOCK, TX 79430

Lubbock County (806) 743-2244

JORDAN ROSE KANG DO

Pediatrics (Neonatal-Perinatal Medicine)

3601 4TH ST STOP 9406
LUBBOCK, TX 79430

Lubbock County (806) 743-6630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clair Park's NPI number?

The NPI number for Clair Park is 1316638364. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Clair Park located?

Clair Park practices at 3601 4th St Stop 9406, Lubbock, TX 79430. The listed phone number is (806) 743-7660.

What is Clair Park's specialty?

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

Is Clair Park enrolled in Medicare?

Yes. Clair Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clair Park was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.