Individual provider Active NPI

Sherine Tresa Jose, DO

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1659750230
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S2073 Issued in TX
Practice address
5950 Garland Blvd South
100
Garland, TX 75043-7504
Phone
(972) 525-9900
Fax
(469) 333-7988
NPI assigned
May 28, 2015
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S2073 TX Primary

Addresses

Primary practice location

5950 Garland Blvd South
100
Garland, TX 75043-7504

Mailing address

PO Box 360541
Pittsburgh, PA 15251-6541
Phone (972) 525-9900

Other practice location 1

3939 Medical Dr
San Antonio, TX 78229
Phone (210) 450-6120

Other practice location 2

7703 Floyd Curl Dr # Mc-7795
San Antonio, TX 78229-3900
Phone (210) 358-3931

Other identifiers 1

IdentifierTypeStateIssuer
398653101MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sherine.jose.1@13711.direct.athenahealth.com

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
I20190625000338 TX Practitioner - Family Practice 6406168731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors of Internal Medicine PAGroup PAC ID 5092750620, 27 clinicians

Practice addresses (Care Compare)

240 Adriatic Pkwy
McKinney, TX 75070-8278
Phone (972) 382-9292

5941 Dallas Pkwy
Suite 100
Plano, TX 75093-9002
Phone (972) 758-4455

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2019 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2019 Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine Current Accepting new patients
Doctors of Internal Medicine PLLC CurrentSince Jan 28, 2025 Accepting new patients

Locations

7145 N President George Bush Hwy
Garland, TX 75044
Phone (972) 530-1900

5941 Dallas Pkwy
Plano, TX 75093
Phone (972) 758-4455

5941 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (972) 758-4455

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

3939 Medical Dr
San Antonio, TX 78229
Phone (210) 450-6120

7703 Floyd Curl Dr
#7795
San Antonio, TX 78229
Phone (210) 358-3888

Interoperability endpoints

  • Direct secure messaging: sherine.jose.1@13711.direct.athenahealth.com
  • Direct secure messaging: sjose1474025@direct.sw.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1659750230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360541",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516541",
            "telephone_number": "972-525-9900",
            "fax_number": "469-333-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 GARLAND BLVD SOUTH",
            "address_2": "100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750437504",
            "telephone_number": "972-525-9900",
            "fax_number": "469-333-7988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-450-6120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7703 Floyd Curl Dr # Mc-7795",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293900",
            "country_code": "US",
            "telephone_number": "210-358-3931",
            "fax_number": "210-220-3763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSE",
        "first_name": "SHERINE",
        "middle_name": "TRESA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S2073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398653101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sherine.jose.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "5950 Garland Blvd South",
            "address_2": "100",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750437504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.