WEST TEXAS DIGESTIVE DISEASE CENTER, PA
NPI 1720299381
Clinic/Center - Medical Specialty in Lubbock, TX

Active since May 25, 2007CLIA 45D2169878 · Certificate of Compliance
5115 80TH ST, LUBBOCK, TX 79424(806) 788-4368(806) 788-4369 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 15, 2023, Feb 22, 2021 (2 updates tracked since 2021).

About West Texas Digestive Disease Center, Pa NPPES

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

WEST TEXAS DIGESTIVE DISEASE CENTER, PA (NPI 1720299381) is a healthcare organization registered as a medical specialty in Lubbock, Texas and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 9, 2027 and lists Houssam Al Kharrat, President, as its authorized official.

NPPES Registry Identity

NPI1720299381
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameWEST TEXAS DIGESTIVE DISEASE CENTER, PA
Location Address5115 80TH STLubbock, TX 79424-3017
Mailing AddressPo Box 93128Lubbock, TX 79493-3128 · (806) 788-4368 · Fax (806) 788-4369
Fax(806) 788-4369
Organization SubpartNo
Authorized OfficialHoussam Al KharratPresident · (806) 788-4368
Enumeration DateMay 25, 2007
Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
✔ NPI 1720299381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in TX · L8588
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
5115 80TH ST, Lubbock, TX 79424

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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)

West Texas Digestive Disease Center, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20071011000263Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to West Texas Digestive Disease Center, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Certified Registered Nurse Anesthetist (CRNA)7
Nurse Practitioner4
Gastroenterology2

Clinicians, nearest first (13)

Gastroenterology
NPI 1295734424
5115 80TH ST
Lubbock, TX 79424
(806) 788-4368
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1174066799
5115 80TH ST
Lubbock, TX 79424
(806) 788-4368
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205494499
5115 80TH ST
Lubbock, TX 79424
(806) 788-4368
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902358559
4642 N LOOP 289 SUITE 215
Lubbock, TX 79416
(806) 722-2161
✔ PECOS1.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760787451
7509 MARSHA SHARP FWY
Lubbock, TX 79407
(806) 744-7223
✔ Accepts Medicare3.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619355989
7509 MARSHA SHARP FWY
Lubbock, TX 79407
(806) 744-7223
✔ Accepts Medicare3.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538631213
3419 22ND ST
Lubbock, TX 79410
(806) 796-3000
✔ Accepts Medicare4.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1245696178
3419 22ND ST
Lubbock, TX 79410
(806) 796-3000
✔ Accepts Medicare4.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740752427
602 INDIANA AVE
Lubbock, TX 79415
(806) 775-8200
✔ Accepts Medicare4.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1013489764
3601 4TH ST STE 1B350S
Lubbock, TX 79430
(806) 743-6639
✔ Accepts Medicare5.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1639617160
3601 4TH ST
Lubbock, TX 79430
(806) 743-2669
✔ Accepts Medicare5.0 mi
Gastroenterology
NPI 1336455260
909 SOUTHEAST PKWY STE 103
Azle, TX 76020
(817) 546-9453
✔ PECOS✔ Accepts Medicare258 mi
Nurse Practitioner
NPI 1174868376
2201 CLEAR CREEK RD
Killeen, TX 76549
(254) 526-7523
✔ PECOS✔ Accepts Medicare293 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D2169878

West Texas Digestive Disease Center PA · Lubbock, TX
Active · expires May 9, 2027
CLIA Number45D2169878
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorJennifer Do
Laboratory Phone(806) 788-4368
Laboratory LocationWest Texas Digestive Disease Center PA5115 80th Street, Lubbock, TX 79424
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 West Texas Digestive Disease Center, PA's NPI number?

The NPI number for West Texas Digestive Disease Center, PA is 1720299381. It was assigned to this organization in the NPPES registry on May 25, 2007.

Where is West Texas Digestive Disease Center, PA located?

West Texas Digestive Disease Center, PA is located at 5115 80th St, Lubbock, TX 79424. The listed phone number is (806) 788-4368.

What is West Texas Digestive Disease Center, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is West Texas Digestive Disease Center, PA enrolled in Medicare?

Yes. West Texas Digestive Disease Center, PA is registered in the Medicare PECOS enrollment system.

When is West Texas Digestive Disease Center, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through West Texas Digestive Disease Center, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to West Texas Digestive Disease Center, 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (7), Nurse Practitioner (4) and Gastroenterology (2). Of these, 3 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Texas Digestive Disease Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2169878) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Texas Digestive Disease Center, PA accept?

Health plans from WellPoint list West Texas Digestive Disease Center, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for West Texas Digestive Disease Center, PA was last updated on March 15, 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.