Individual provider Active NPI

John Eliason Kenworthy, D.O.

  • Family Medicine Physician
  • Sherman, TX
National Provider Identifier
1700260130
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R1057 Issued in TX
Practice address
1906 W US Highway 82
Sherman, TX 75092-6893
Phone
(903) 892-8398
Fax
(903) 892-6665
NPI assigned
Jul 15, 2015
Last updated
May 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R1057 TX Primary
Family Medicine Physician 207Q00000X BP10054762 594752 TX

Addresses

Primary practice location

1906 W US Highway 82
Sherman, TX 75092-6893

Mailing address

1906 W US Highway 82
Sherman, TX 75092-6893
Phone (903) 892-8398

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
I20180823003236 TX Practitioner - Family Practice 9638428691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Family Medicine PAGroup PAC ID 2264418557, 13 clinicians

Practice addresses (Care Compare)

1906 W US Hwy 82
Sherman, TX 75092-6893
Phone (903) 892-8398

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10054762 594752TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Medicine,PA Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Sherman Apothecary, LP PastSince Aug 1, 2018 Accepting new patients

Locations

1906 W US Highway 82
Sherman, TX 75092
Phone (903) 892-8398

Organizations & group practices 2

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.

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1700260130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 W US HIGHWAY 82",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926893",
            "telephone_number": "903-892-8398",
            "fax_number": "903-892-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 W US HIGHWAY 82",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926893",
            "telephone_number": "903-892-8398",
            "fax_number": "903-892-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENWORTHY",
        "first_name": "JOHN",
        "middle_name": "ELIASON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R1057",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10054762 594752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.