Sherman Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHERMAN PRIMARY CARE

Practice address

204 Medical Dr # 210
Sherman, TX 75092-6366

Phone

(903) 226-9614

Fax

(903) 226-9647

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Benarji Tegala, MDNPI 1518925841

Title

Owner

Phone

(903) 226-9614

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benarji Tegala, M.D.

  • Internal Medicine Physician
  • Bonham, TX
  • NPI 1518925841
  Medicare reassignment NPD Authorized official
• Leslie Barnett, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Sherman, TX
  • NPI 1003427907
  Medicare reassignment NPD
• Subhash Chandra M.C. Bose, MD

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1366624421

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1346844347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MEDICAL DR # 210",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926366",
            "telephone_number": "903-226-9614",
            "fax_number": "903-226-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEDICAL DR # 210",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926366",
            "telephone_number": "903-226-9614",
            "fax_number": "903-226-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "TEGALA",
        "authorized_official_first_name": "BENARJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-226-9614",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherman Heart Group, L.L.P.
• Sherman Heart Group, LLC
• Sherman Immediate Care Clinic PLLC
• Sherman Isd
• Sherman MD Provider Inc
• Sherman Select, LLC
• Sherman Seniorhealth Services Inc
• Sherman Seniorhealth Services Inc
• Sherman Seniorhealth Services Inc.
• Sherman Seniorhelath Services Inc

• Internal Medicine Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.