Active NPI
Nirmala Nandini Cheatham, M.D.
- Family Medicine Physician
- Jacksonville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q2159
- Practice address
- 2026 S Jackson St
Jacksonville, TX 75766-5822 - Phone
- (903) 586-5678
- NPI assigned
- Jun 27, 2011
- Last updated
- Aug 30, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q2159 | TX | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | Q2159 | TX |
Addresses
Primary practice location
2026 S Jackson St
Jacksonville, TX 75766-5822
Mailing address
PO Box 847522
Dallas, TX 75284-7522
Phone (903) 531-5000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75-1976930-005 | Other | TX | TRICARE |
| 8GM804 | Other | TX | BCBS |
| P01812509 | Other | TX | RAIL ROAD MEDICARE |
| 370083301 | Medicaid | TX |
Other names 1
- Nirmala Nandini Maharaj
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2026 S Jackson St
Christus Mother Frances Hospital Jacksonvil
Jacksonville, TX 75766-5822
Phone (903) 541-4500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25933 | WV | MD | Registered Nurse |
| Q2159 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trincare Inc | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| East Texas Community Health Services, Inc | Past | Accepting new patients |
Locations
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- ncheatham140981@christushealth.direct-ci.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHRISTUS Mother Frances Hospital - Jacksonville
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba TrinCare Clinical Laboratories
- Clinical Medical Laboratory
- Tyler, TX
- NPI 1033351226
-
- Community/Retail Pharmacy
- Nacogdoches, TX
- NPI 1457216665
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS HomeCare
- Home Health Agency
- Palestine, TX
- NPI 1275389439
-
dba CHRISTUS Mother Frances Hospital - Jacksonville
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1285920405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847522",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847522",
"telephone_number": "903-531-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2026 S JACKSON ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757665822",
"telephone_number": "903-586-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "NIRMALA",
"middle_name": "NANDINI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q2159",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "Q2159",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "75-1976930-005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8GM804",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P01812509",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370083301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NIRMALA",
"last_name": "MAHARAJ",
"middle_name": "NANDINI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.