Individual provider Active NPI

Sherry Sewrathan-Ghosh, D.O

  • Physical Medicine & Rehabilitation Physician
  • Bryan, TX
National Provider Identifier
1477577815
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
Q4518 Issued in TX
Practice address
1600 Joseph Dr
Bryan, TX 77802-1502
Phone
(979) 821-7527
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Q4518 TX Primary

Addresses

Primary practice location

1600 Joseph Dr
Bryan, TX 77802-1502

Mailing address

1600 Joseph Dr
Bryan, TX 77802-1502
Phone (979) 821-7527

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
I20150706001913 TX Practitioner - Physical Medicine and Rehabilitation 9739138777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 Joseph Dr
Suite 1516
Bryan, TX 77802-1502
Phone (979) 821-7527

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, College Station, TX, CCN 747020
  • Accentcare Home Health of College Station Home health agency, College Station, TX, CCN 679189
  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
  • Baylor Scott & White Medical Center- College Stati Hospital, College Station, TX, CCN 670088
  • CHI St. Joseph Health Rehabilitation Hospital, an Inpatient rehabilitation facility, Bryan, TX, CCN 673065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q4518TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherry Sewrathan-Ghosh DO PA Physical Medicine & Rehabilitation CurrentSince Nov 28, 2016 Accepting new patients
Columbia Doctors of New Jersey, P. C. Past Accepting new patients
St. Joseph Encompass Health Rehabilitation Hospital, LLC Past Accepting new patients

Locations

1600 Joseph Dr
Ste 1516
Bryan, TX 77802
Phone (979) 353-1126

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1477577815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 JOSEPH DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021502",
            "telephone_number": "979-821-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 JOSEPH DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021502",
            "telephone_number": "979-821-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWRATHAN-GHOSH",
        "first_name": "SHERRY",
        "name_prefix": "Mrs.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q4518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.