NPIMap

Organization Active NPI

Tejas Health Care

  • Federally Qualified Health Center (FQHC)
  • Giddings, TX
National Provider Identifier
1215326491
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TEJAS HEALTH CARE
Practice address
185 Decker Dr
Giddings, TX 78942-1451
Phone
(979) 542-6500
Fax
(979) 542-1500
NPI assigned
Jan 12, 2015
Last updated
May 7, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
TEJAS HEALTH CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Sheri Kehler
Title
Ceo
Phone
(979) 968-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

185 Decker Dr
Giddings, TX 78942-1451

Mailing address

753 E Travis St
La Grange, TX 78945-2353
Phone (979) 968-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090526000409 TX Part B Supplier - Clinic/Group Practice 1153470067 Receives reassigned benefits from 21 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: La Grange, TX; Giddings, TX
O20150511000170 TX Part A Provider - Federally Qualified Health Center (FQHC) 1153470067 Practice locations: Giddings, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215326491. Details of each certification follow.

Federally qualified health center certification: CCN 741889

Legal name
TEJAS HEALTH CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 8, 2015
Last certification
May 8, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 13, 2007 in TX
Enrollment address
185 Decker Dr
Giddings, TX 78942-1451

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Tejas Health Care

Locations

753 E Travis St
La Grange, TX 78945
Phone (979) 968-2000

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tejas Health Care Organization, La Grange, TX Non-profit 5% Or Greater Direct Ownership Interest Jan 19, 2015 100%
Sheri Kehler Individual Corporate OfficerCeo May 5, 2014 100%
Pamela Wyant Individual Operational/Managerial ControlBilling Supervisor Dec 24, 2014 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tejas Health CareLa Grange, TX, CCN 671942 Federally qualified health center Operational/Managerial Control May 19, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1215326491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 E TRAVIS ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452353",
            "telephone_number": "979-968-2000",
            "fax_number": "979-968-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 DECKER DR",
            "city": "GIDDINGS",
            "state": "TX",
            "postal_code": "789421451",
            "telephone_number": "979-542-6500",
            "fax_number": "979-542-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJAS HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEJAS HEALTH CARE",
        "enumeration_date": "2015-01-12",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "KEHLER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-968-2000"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Giddings, TX

Sources for this page

Verify at the official NPI Registry.