Active NPI
Sheri Lynn Demartelaere, M.D.
- Ophthalmology Physician
- Fort Sam Houston, TX
National Provider Identifier
1083605430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- L8321
- Practice address
- 3851 Roger Brooke Dr
Brooke Army Medical Center, McHe-QD Credentials
Fort Sam Houston, TX 78234-4501 - Phone
- (210) 916-2460
- NPI assigned
- Nov 3, 2005
- Last updated
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | L8321 | TX | Primary |
Addresses
Primary practice location
3851 Roger Brooke Dr
Brooke Army Medical Center, McHe-QD Credentials
Fort Sam Houston, TX 78234-4501
Mailing address
3551 Roger Brooke Dr Quality Services/7TH Floor
Brooke Army Medical Center, Attn: McHe-ZQQ
Jbsa Ft Sam Houston, TX 78234-4504
Phone (210) 916-2338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167473101 | Medicaid | TX |
Other names 1
- Sheri L. Demartelaere
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8321 | TX | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1083605430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR QUALITY SERVICES/7TH FLOOR",
"address_2": "BROOKE ARMY MEDICAL CENTER, ATTN: MCHE-ZQQ",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR",
"address_2": "BROOKE ARMY MEDICAL CENTER, MCHE-QD CREDENTIALS",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344501",
"telephone_number": "210-916-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARTELAERE",
"first_name": "SHERI",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "L8321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167473101",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERI",
"last_name": "DEMARTELAERE",
"middle_name": "L.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.