Individual provider Active NPI

Shari J Spitzer, M.D.

  • Family Medicine Physician
  • Kaufman, TX
National Provider Identifier
1184629198
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J9896 Issued in TX
Practice address
2226 County Road 4106
Kaufman, TX 75142-6148
Phone
(972) 932-7599
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J9896 TX Primary

Addresses

Primary practice location

2226 County Road 4106
Kaufman, TX 75142-6148

Mailing address

2226 County Road 4106
Kaufman, TX 75142-6148
Phone (972) 932-7599

Other identifiers 2

IdentifierTypeStateIssuer
86230KOtherTXBCBS
044714601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071113000142 TX Practitioner - Family Practice 3072601897 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians
Dharma MD PAGroup PAC ID 4183089154, 6 clinicians

Practice addresses (Care Compare)

6444 State Hwy 19 S
Athens, TX 75751-8968
Phone (903) 677-8424

8877 Harry Hines Blvd
Suite 100
Dallas, TX 75235-1715
Phone (214) 393-2940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dharma MD PA Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Brashear Family Medical, P.a. Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients

Locations

340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000

6444 State Highway 19 S
Athens, TX 75751
Phone (903) 677-8424

8877 Harry Hines Blvd
Ste 100
Dallas, TX 75235
Phone (214) 393-2940

8989 Harry Hines Blvd
Dallas, TX 75235
Phone (469) 860-6023

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

2801 Millennium Dr
Ste B
Kaufman, TX 75142
Phone (972) 932-8555

2300 Commerce Way
Kaufman, TX 75142
Phone (972) 932-8555

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

Interoperability endpoints

  • Direct secure messaging: sspitzer355580@ahs.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184629198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 COUNTY ROAD 4106",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751426148",
            "telephone_number": "972-932-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 COUNTY ROAD 4106",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751426148",
            "telephone_number": "972-932-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZER",
        "first_name": "SHARI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86230K",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044714601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

Verify at the official NPI Registry.