Shermann Samala Singleton, MD
Individual provider Active NPI Family Medicine Physician · Aztec, NM
NPI 1265593552 · NPPES record last updated Jul 15, 2013
Key facts
- NPI
- 1265593552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD2006-0488 (NM)
- Practice address
- 120 Llano St
Aztec, NM 87410-2172 - Phone
- (505) 334-3404
- Fax
- (505) 609-2259
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of New Mexico School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- San Juan Regional Medical Center, Inc.
Practice addresses (Care Compare)
801 W Maple St
Sjrmc ER Physicians
Farmington, NM 87401-5630
Phone (505) 609-2000
Hospital & facility affiliations
- San Juan Regional Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.97 of 100
- Quality
- 79.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.87
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070326000037 | NM | Practitioner - Family Practice | 2961506308 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2006-0488 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Family Medicine | Current |
Accepting new patients |
Locations
120 Llano St
Aztec, NM 87410
Phone (505) 334-3404
801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011
4820 E Main St
Farmington, NM 87402
Phone (505) 326-0459
4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2006-0488 | NM | Yes |
Addresses
Primary practice location
120 Llano St
Aztec, NM 87410-2172
Mailing address
PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258
Other providers in Aztec, NM
- Julie Raquel Schaffer
- Leah M Schlierf
- Michael B Sells
- Shannon Selman
- Josalyn Nicole Sewell
- Janet Sloan
- Small Epiphanies, Inc.
- Smilemaker Dental Inc.
- Barbara Jean Snyder
- Jack Fields Sona II
All providers in Aztec, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.