Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anceslo Idicula, MD

Individual provider Surgery Physician · NPI 1528446572

Anceslo Idicula, MD is a Hand Surgery in Lubbock, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2015, 11 years ago. Practices with Texas Tech University Health Sciences Center Lubbock, a 368-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3601 4th St # MS 8312
Lubbock, TX 79430-0002
Phone: (806) 743-2373
Fax: (806) 743-4354
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery of the Hand (Surgery) Physician (primary) Taxonomy 2086S0105X · Licence U5988 (TX)
Surgery Physician Taxonomy 208600000X · Licence BP10052704 (TX)

Record details

NPI number1528446572
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 11, 2015
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023
Mailing address3601 4th St # Ms 8312, Lubbock, TX 79430-0002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHAND SURGERY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Texas Tech University Health Sciences Center Lubbock — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lubbock