Individual provider Active NPI

Ashley Alysse Sommerhalder, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1720408727
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S8920 Issued in TX
Practice address
19707 W Interstate 10 Ste 213
San Antonio, TX 78257-1748
Phone
(210) 946-3100
Fax
(210) 946-3100
NPI assigned
Apr 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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 S8920 TX Primary
Family Medicine Physician 207Q00000X MD.305577 LA

Addresses

Primary practice location

19707 W Interstate 10 Ste 213
San Antonio, TX 78257-1748

Mailing address

19707 W Interstate 10 Ste 213
San Antonio, TX 78257-1748
Phone (210) 946-3100

Other practice location 1

5390 Barksdale Blvd Ste 200
Bossier City, LA 71112-4526
Phone (318) 747-8100

Other practice location 2

2539 Viking Dr Ste 101
Bossier City, LA 71111-2165
Phone (318) 747-8100

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
I20260608000962 TX Order and Referring Only - Family PracticePractitioner - Family Practice 7517246309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.305577LAMDFamily Medicine Physician
S8920TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bossier Family Medicine, LLC CurrentSince Sep 11, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Feb 3, 2018 Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

2539 Viking Dr
Ste 101
Bossier City, LA 71111
Phone (318) 747-8100

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1720408727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19707 W INTERSTATE 10 STE 213",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571748",
            "telephone_number": "210-946-3100",
            "fax_number": "210-946-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19707 W INTERSTATE 10 STE 213",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571748",
            "telephone_number": "210-946-3100",
            "fax_number": "210-946-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5390 Barksdale Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711124526",
            "country_code": "US",
            "telephone_number": "318-747-8100",
            "fax_number": "318-747-8150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2539 Viking Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711112165",
            "country_code": "US",
            "telephone_number": "318-747-8100",
            "fax_number": "318-747-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMMERHALDER",
        "first_name": "ASHLEY",
        "middle_name": "ALYSSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S8920",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.305577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.