Individual provider Active NPI

Sherri L Ten Pas, DO

  • Sleep Medicine (Internal Medicine) Physician
  • Tyler, TX
National Provider Identifier
1295706471
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
P7042 Issued in TX
Practice address
120 E Charnwood St
Suite B
Tyler, TX 75701-1708
Phone
(903) 525-1664
NPI assigned
Jan 27, 2006
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2010-01655 NC
Neurological Surgery Physician 207T00000X P7042 TX
Neurology Physician 2084N0400X P7042 TX
Sleep Medicine (Internal Medicine) Physician 207RS0012X P7042 TX Primary

Addresses

Primary practice location

120 E Charnwood St
Suite B
Tyler, TX 75701-1708

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450

Other practice location 1

2116 E Rusk St
Jacksonville, TX 75766-9052
Phone (903) 541-4545

Other practice location 2

705 E Marshall Ave Ste 4001
Longview, TX 75601-5660
Phone (903) 315-2366

Other identifiers 12

IdentifierTypeStateIssuer
322437002MedicaidTX
322437001MedicaidTX
00T71UOtherTXBCBS BLUE
5915940MedicaidNC
75-2616977-026OtherTXTRICARE
752616977028OtherTXTRICARE
752616977002OtherTXTRICARE
P01222503OtherTXMEDICARE RR
752616977001OtherTXTRICARE
2403268OtherNCNC MEDICARE PTAN
752616977015OtherTXTRICARE
NC1289MedicaidSC

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
I20130802000271 TX Practitioner - Sleep MedicinePractitioner - Neurology 1951384965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

120 E Charnwood St
Christus Trinity Clinic
Tyler, TX 75701-1708
Phone (903) 525-1664

20208 State Hwy 155 S
Christus Trinity Clinic
Flint, TX 75762-5600
Phone (903) 825-6222

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 541-4599

2114 E Rusk St
Jacksonville, TX 75766-9052
Phone (903) 595-2283

2116 E Rusk St
Jacksonville, TX 75766-9052
Phone (903) 586-5679

313 W Parker St
Christus Trinity Clinic
Elkhart, TX 75839-7612
Phone (903) 764-5626

3203 S Main St
Christus Trinity Clinic
Lindale, TX 75771-7727
Phone (903) 266-4000

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-01655NCMDNeurological Surgery Physician
P7042TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Sleep Medicine CurrentSince Jul 1, 2013 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 1, 2013 Accepting new patients
United Sleep Medicine Associates PA Neurology Past Accepting new patients
Sleep Management Institute LLC Past Accepting new patients
Christus Good Shepherd Medical Center Past Accepting new patients
Sleep Management Institute LLC Sleep Medicine Past Accepting new patients
Your MD, LLC PastSince Aug 1, 2003 Accepting new patients
Back & Spine Center of West Chester Inc Past Accepting new patients
The Neurological Institute PA Neurological Surgery PastSince Mar 23, 1996 Accepting new patients
Neurological & Sleep Disorders Inc Sleep Medicine PastSince Apr 30, 2023 Accepting new patients
Atlantic Sleep Centers, PLLC Past Accepting new patients
Tri-State Pulmonary Associates, Inc. PastSince Jun 1, 2019 Accepting new patients
Noble Allman DC Inc PastSince Mar 22, 2010 Accepting new patients

Locations

2116 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

705 E Marshall Ave
Ste 4001
Longview, TX 75601
Phone (903) 315-2366

120 E Charnwood St
Ste B
Tyler, TX 75701
Phone (903) 525-1664

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: stenpas70096@christushealth.direct-ci.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1295706471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E CHARNWOOD ST",
            "address_2": "SUITE B",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011708",
            "telephone_number": "903-525-1664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 E Rusk St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757669052",
            "country_code": "US",
            "telephone_number": "903-541-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 E Marshall Ave Ste 4001",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015660",
            "country_code": "US",
            "telephone_number": "903-315-2366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEN PAS",
        "first_name": "SHERRI",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "2010-01655",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "P7042",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P7042",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "P7042",
            "primary": true
        }
    ],
    "identifiers": [
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322437002",
            "state": "TX"
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            "issuer": null,
            "identifier": "322437001",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE",
            "identifier": "00T71U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915940",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-026",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "752616977028",
            "state": "TX"
        },
        {
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            "issuer": "TRICARE",
            "identifier": "752616977002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01222503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "752616977001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICARE PTAN",
            "identifier": "2403268",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "752616977015",
            "state": "TX"
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "NC1289",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.