LUBBOCK INTEGRATED MEDICAL INSTITUTE PLLC
NPI 1790130169
General Practice in Lubbock, TX

Active since May 04, 2016
2630 26TH ST, LUBBOCK, TX 79410(806) 765-8443 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lubbock Integrated Medical Institute Pllc NPPES

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

LUBBOCK INTEGRATED MEDICAL INSTITUTE PLLC (NPI 1790130169) is a healthcare organization registered as a general practice in Lubbock, Texas and active in the NPI registry since May 2016. The organization lists Christopher Rose, Owner, as its authorized official.

NPPES Registry Identity

NPI1790130169
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLUBBOCK INTEGRATED MEDICAL INSTITUTE PLLC
Location Address2630 26TH STLubbock, TX 79410-2220
Mailing Address2630 26th StLubbock, TX 79410-2220 · (806) 765-8443
Organization SubpartNo
Authorized OfficialChristopher RoseOwner · (806) 765-8443
Enumeration DateMay 4, 2016
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1790130169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · K7879
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2630 26TH ST, Lubbock, TX 79410

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

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 Integrated Medical Institute Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 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 IDO20220120000209Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lubbock Integrated Medical Institute PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1992359160
2630 26TH ST
Lubbock, TX 79410
(806) 765-8443
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1336302173
4009 19TH ST SUITE E
Lubbock, TX 79410
(806) 778-0764
✔ PECOS1.5 mi

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 Lubbock Integrated Medical Institute PLLC's NPI number?

The NPI number for Lubbock Integrated Medical Institute PLLC is 1790130169. It was assigned to this organization in the NPPES registry on May 4, 2016.

Where is Lubbock Integrated Medical Institute PLLC located?

Lubbock Integrated Medical Institute PLLC is located at 2630 26th St, Lubbock, TX 79410. The listed phone number is (806) 765-8443.

What is Lubbock Integrated Medical Institute PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Lubbock Integrated Medical Institute PLLC enrolled in Medicare?

Yes. Lubbock Integrated Medical Institute PLLC is registered in the Medicare PECOS enrollment system.

When is Lubbock Integrated Medical Institute PLLC'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 March 31, 2027. 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 Lubbock Integrated Medical Institute PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lubbock Integrated Medical Institute PLLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lubbock Integrated Medical Institute PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Lubbock Integrated Medical Institute PLLC 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 Lubbock Integrated Medical Institute PLLC was last updated on December 21, 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.