Active NPI
Tom Joseph Sauerwein, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Jbsa Lackland, TX
National Provider Identifier
1265410567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD-051544-L
- Practice address
- 1100 Wilford Hall Loop, BLDG 4554
Attn: 59 MDW/SGHC
Jbsa Lackland, TX 78236-9908 - Phone
- (210) 292-6225
- NPI assigned
- Jan 6, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD-051544-L | PA | Primary |
Addresses
Primary practice location
1100 Wilford Hall Loop, BLDG 4554
Attn: 59 MDW/SGHC
Jbsa Lackland, TX 78236-9908
Mailing address
2200 Bergquist Dr
Attn: Credentials (CMC)Suite 1
Lackland a F B, TX 78236-9907
Phone (210) 292-6475
Other practice location 1
2200 Bergquist Dr
ATTN: Credentials (CMC)
Lackland A F B, TX 78236-9908
Phone (210) 292-6475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-051544-L | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1265410567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR",
"address_2": "ATTN: CREDENTIALS (CMC)SUITE 1",
"city": "LACKLAND A F B",
"state": "TX",
"postal_code": "782369907",
"telephone_number": "210-292-6475",
"fax_number": "210-292-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP, BLDG 4554",
"address_2": "ATTN: 59 MDW/SGHC",
"city": "JBSA LACKLAND",
"state": "TX",
"postal_code": "782369908",
"telephone_number": "210-292-6225"
}
],
"practiceLocations": [
{
"address_1": "2200 Bergquist Dr",
"address_2": "ATTN: Credentials (CMC)",
"address_purpose": "LOCATION",
"city": "Lackland A F B",
"state": "TX",
"postal_code": "782369908",
"country_code": "US",
"telephone_number": "210-292-6475",
"fax_number": "210-292-7662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAUERWEIN",
"first_name": "TOM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD-051544-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Lackland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.