Active NPI
Ashley Alysse Sommerhalder, MD
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S8920
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260608000962 | TX | Order and Referring Only - Family Practice | 7517246309 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.305577 | LA | MD | Family Medicine Physician |
| S8920 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bossier Family Medicine, LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current | 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.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Family Medicine
-
- Urgent Care Clinic/Center
- Bossier City, LA
- NPI 1629577895
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.