LUTFOR NESSA (MD, MPH) – Internal Medicine Physician, NPI 1053060616

LUTFOR NESSA (MD, MPH) is a healthcare provider. based in Wichita falls, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD, MPH. They hold a License No. V6075 (TX). The NPI Number for LUTFOR NESSA (MD, MPH) is 1053060616

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
LUTFOR NESSA (MD, MPH)
NPI
1053060616
Phone
(940) 263-3000
Address
1631 11th Street
Enumeration Date
21 March 2022
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9402633000
Graduation Year
2025 (1 year ago)
PAC ID
6507247129
Group Practice PAC ID
0749540045
Professional Enrollment ID
I20250512002887
Address ID
TX763014300WI1600XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for LUTFOR NESSA (MD, MPH)

  • 1631 11th Street

    Unit B

    Wichita Falls, TX 763014332

    Phone: (940) 263-3000

    Fax: (940) 263-3018

    Type: Location

  • 701 W 5TH ST

    ODESSA, TX 797634206

    Phone: (432) 703-5375

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $164.

Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Ardelyx, Inc. ($144).

Total Amount

$164

General + Research + Ownership

Payments

2

Total payment records

General Amount

$164

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250512002887IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749540045View full group profile
NameSpecialtyState
Family PracticeTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineAZ
Internal Medicine, HospitalistTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineMD
-TX

Reviews

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Frequently asked questions

Can I verify LUTFOR NESSA (MD, MPH) with an NPI only?
You can start verification with NPI 1053060616 for LUTFOR NESSA (MD, MPH), then check state licensing separately.
Does CMS list LUTFOR NESSA (MD, MPH) as active?
Yes — LUTFOR NESSA (MD, MPH) is active in the NPI listing used on this page.
What is LUTFOR NESSA (MD, MPH)'s primary classification?
Internal Medicine Physician is the headline specialty for LUTFOR NESSA (MD, MPH) here. Clinical services aligned with this taxonomy classification.
Does LUTFOR NESSA (MD, MPH) list a practice location?
Patients near Wichita Falls, Texas may find LUTFOR NESSA (MD, MPH) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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