LUBBOCK SPORTS MEDICINE ASSOCIATES
NPI 1902842404
Specialist in Lubbock, TX

Active since June 22, 2006
4110 22ND PL, LUBBOCK, TX 79410(806) 792-4329(806) 792-9466 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lubbock Sports Medicine Associates NPPES

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

LUBBOCK SPORTS MEDICINE ASSOCIATES (NPI 1902842404) is a healthcare organization registered as a specialist in Lubbock, Texas and active in the NPI registry since June 2006. The organization lists Robert Thomas Hendricks, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902842404
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCSK MEDICAL PARTNERS
Location Address4110 22ND PLLubbock, TX 79410-1122
Mailing Address4110 22nd PlLubbock, TX 79410-1122 · (806) 792-4329 · Fax (806) 792-9466
Fax(806) 792-9466
Organization SubpartNo
Authorized OfficialRobert Thomas HendricksAdministrator · (806) 792-4329
Enumeration DateJune 22, 2006
Last NPPES UpdateJune 28, 2012
✔ NPI 1902842404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4110 22ND PL, Lubbock, TX 79410

Other Names 1

Doing Business AsLubbock Sports Medicine Associates

Other Identifiers 11

Medicare OSCAR/certification00K865
Medicare NSC0472270001TX
Other0472270001Dmerc
Medicare OSCAR/certification611517
Medicare PIN00657YTX
Medicare PIN00657Y
Other0080EHBlue Cross/blue Shield Of Texas
Medicare OSCAR/certification00657Y
Medicare OSCAR/certification00JY32
Medicare OSCAR/certification0062BU
Medicare PIN00K865TX

Group Practice 1

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

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 Sports Medicine Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 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 IDO20050413000186Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Lubbock Sports Medicine Associates, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 18 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner8
Orthopedic Surgery7
Physical Therapist in Private Practice4

Clinicians, nearest first (19)

Orthopedic Surgery
NPI 1336242577
4110 22ND PL
Lubbock, TX 79410
(806) 792-4329
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1336242593
4110 22ND PL
Lubbock, TX 79410
(806) 792-4329
✔ PECOSSame address
Orthopedic Surgery
NPI 1649464033
4110 22ND PL
Lubbock, TX 79410
(068) 792-4329
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215030408
4110 22ND PL
Lubbock, TX 79410
(806) 797-4985
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104588599
4110 22ND PL
Lubbock, TX 79410
(806) 792-4329
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1700087350
4110 22ND PL
Lubbock, TX 79410
(806) 792-4329
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1104143957
4110 22ND PL
Lubbock, TX 79410
(806) 792-4329
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619625647
4110 22ND PL
Lubbock, TX 79410
(806) 792-4329
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720021405
4102 24TH ST SUITE 406
Lubbock, TX 79410
(806) 725-6461
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1396006284
3506 21ST ST STE 602
Lubbock, TX 79410
(806) 725-4425
✔ PECOS✔ Accepts Medicare0.6 mi
Orthopedic Surgery
NPI 1467779207
3506 21ST ST STE 507
Lubbock, TX 79410
(806) 725-4805
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1851744957
3506 21ST ST STE. 507
Lubbock, TX 79410
(806) 725-4805
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1992374912
602 INDIANA AVE
Lubbock, TX 79415
(806) 761-0566
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1730602749
4642 N LOOP 289 STE 101
Lubbock, TX 79416
(806) 797-4985
✔ PECOS✔ Accepts Medicare2.2 mi
Physical Therapist in Private Practice
NPI 1366139396
5044 FRANKFORD AVE STE 100
Lubbock, TX 79424
(806) 792-7200
✔ Accepts Medicare3.0 mi
Physical Therapist in Private Practice
NPI 1003770686
5044 FRANKFORD AVE
Lubbock, TX 79424
(806) 792-7200
✔ Accepts Medicare3.0 mi
Physical Therapist in Private Practice
NPI 1285203828
5044 FRANKFORD AVE
Lubbock, TX 79424
(806) 792-7200
✔ Accepts Medicare3.0 mi
Physical Therapist in Private Practice
NPI 1093706012
6913 INDIANA AVE
Lubbock, TX 79413
(806) 687-2788
✔ Accepts Medicare3.1 mi
Orthopedic Surgery
NPI 1891052395
701 GROVE RD
Greenville, SC 29605
(864) 680-4923
✔ PECOS✔ Accepts Medicare1,118 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 Csk Medical Partners's NPI number?

The NPI number for Csk Medical Partners is 1902842404. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Lubbock Sports Medicine Associates.

Where is Csk Medical Partners located?

Csk Medical Partners is located at 4110 22nd Pl, Lubbock, TX 79410. The listed phone number is (806) 792-4329.

What is Csk Medical Partners's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Csk Medical Partners enrolled in Medicare?

Yes. Csk Medical Partners is registered in the Medicare PECOS enrollment system.

When is Csk Medical Partners'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 October 31, 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 Csk Medical Partners?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 3 Medicare specialties reassign their Medicare billing to Csk Medical Partners. 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 Nurse Practitioner (8), Orthopedic Surgery (7) and Physical Therapist in Private Practice (4). Of these, 8 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Csk Medical Partners was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.