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DR. GOUTAM PADA SHOME M.D. NPI 1962491191


NPI Information

NPI: 1962491191
Provider Name: DR. GOUTAM PADA SHOME, M.D.
Classification: Internal Medicine - 207RA0201X
Entity Type: Individual

Specialization: Allergy & Immunology

Organization: COVENANT MEDICAL GROUP

PECOS Registration: Yes

Address:
9812 SLIDE RD
LUBBOCK, TX
ZIP 79424
Phone: (806) 725-8420
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DR. Goutam Pada Shome, M.D. is an allergy and immunology internal medicine in Lubbock, TX with 24 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. DR. Goutam Pada Shome, M.D. NPI is 1962491191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2000

The provider's business location address is:

9812 SLIDE RD
LUBBOCK, TX
ZIP 79424-781
Phone: (806) 725-8420
Fax: (806) 783-9059

The NPI 1962491191 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of allergenic extracts into skin, accessed through the skin (HCPCS:95004)
  • Preparation and provision of single or multiple antigens for allergen immunotherapy (HCPCS:95165)
  • Injection of incremental dosages of allergen, 2 or more injections (HCPCS:95117)
  • Injection of allergenic extracts into skin for immediate reaction analysis (HCPCS:95024)
  • Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)

The enumeration date for this NPI number is 10/20/2005 and was last updated on 2/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyL3825TEXASNo
2207RA0201XInternal MedicineAllergy & ImmunologyL3825TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G14193MEDICARE UPINTEXAS
2P00671980OTHERTEXASRAILROAD MEDICARE
38J4528MEDICARE PINTEXAS
4143911903MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.