Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760437479 Individual Practitioner Female Practitioner

Dr. Itikana Deb Roy , MD

Pediatrics • Lubbock, TX

Professional Overview & Biography Verified Profile Summary

Dr. Itikana Roy, MD is a registered healthcare professional specializing in Pediatrics in Lubbock, TX. Practice services are available at 9812 SLIDE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9812 Slide Rd

Lubbock, TX 794245781

Telephone 8067258447
Fax 8067258448
Associated Practice Facility / Clinic
🏢 Covenant Medical Group Facility NPI 1376598904

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
94 Specialists

Practicing in Lubbock, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX L2613

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
150433401 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. Angela Ferguson , DO

Internal Medicine

NPI 1104067909

Doctor of Osteopathic Medicine (D.O.)

Annabelle Jordan

Nurse Practitioner - Family

NPI 1124579016
Anastacia Leatherwood , FNP

Nurse Practitioner - Family

NPI 1164948188

Family Nurse Practitioner

Dr. Lynsie Nuckolls , DNP, FNP-C

Nurse Practitioner - Family

NPI 1205559093

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

NPI 1235103474

Doctor of Medicine (M.D.)

Jessica Berryhill , LCSW LCDC

Social Worker - Clinical

NPI 1255113445

LCSWLCDC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address February 23, 2023

Registered at 2215 NASHVILLE AVE, LUBBOCK, TX 794101105 (Tel: 8067255844)

👤
Provider Name / Credentials Updated February 23, 2023

Recorded as ITIKANA ROY, MD

NPI Profile Active July 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2015

Registered at 9812 SLIDE RD, LUBBOCK, TX 794245781 (Tel: 8067258447)

📍
Updated Business Mailing Address July 09, 2015

Registered at 3420 22ND PL, LUBBOCK, TX 794101314 (Tel: 8067255844)

👤
Provider Name / Credentials Updated July 09, 2015

Recorded as ITAKANA ROY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2015

Pediatrics (License #L2613 in TX)

🟢
Initial NPI Registration & Enumeration May 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760437479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2006
Last Update: February 23, 2023
Sole Proprietor: No

Mailing Address

2215 Nashville Ave

Lubbock, TX 794101105

Phone: 8067255844

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.