MICHAEL DAVID LONG MD PA
NPI 1396442182
Dermatology in Lubbock, TX
About Michael David Long Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL DAVID LONG MD PA (NPI 1396442182) is a healthcare organization registered as a dermatology in Lubbock, Texas and active in the NPI registry since February 2023. The organization lists Michael David Long, Owner/md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael David Long Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael David Long MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Michael David Long MD PA's NPI number?
The NPI number for Michael David Long MD PA is 1396442182. It was assigned to this organization in the NPPES registry on February 13, 2023.
Where is Michael David Long MD PA located?
Michael David Long MD PA is located at 3223 S Loop 289 Ste 325, Lubbock, TX 79423. The listed phone number is (806) 412-5224.
What is Michael David Long MD PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Michael David Long MD PA enrolled in Medicare?
Yes. Michael David Long MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michael David Long MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Michael David Long MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Michael David Long MD PA was last updated on February 13, 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.
# Michael David Long Md Pa · NPI 1396442182
Dermatology organization in Lubbock, Texas. Organization record, active in the CMS NPPES registry since February 13, 2023.
## Identity
- **NPI:** 1396442182 (Entity type: Organization)
- **Enumerated:** February 13, 2023
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Michael Long, OWNER/MD
## Practice location
- **Address:** 3223 S LOOP 289 STE 325, Lubbock, TX 79423-1351
- **Phone:** (806) 412-5224 · **Fax:** (806) 412-5224
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396442182) · Data from the CMS NPPES public registry.