Individual provider Active NPI

Sharon Overall, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tyler, TX
National Provider Identifier
1730530924
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002643 Issued in MI
Practice address
6603 Oak Hill Blvd
Tyler, TX 75703-0586
Phone
(903) 939-3668
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002643 MI Primary

Addresses

Primary practice location

6603 Oak Hill Blvd
Tyler, TX 75703-0586

Mailing address

6603 Oak Hill Blvd
Tyler, TX 75703-0586
Phone (903) 939-3668

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191221000044 TX Practitioner - Podiatry 1850686536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

25 Leonard TRL
Westworth Village, TX 76114-4037
Phone (817) 731-7600

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue73
Removal of nail tissue4866
Removal or shaving of skin growth1547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC CurrentSince May 1, 2020 Accepting new patients
Preferred Podiatry Group PC CurrentSince May 1, 2020 Accepting new patients
Fannin County Hospital Authority Past Accepting new patients

Locations

10 Medical Dr
Clarendon, TX 79226
Phone (806) 874-2273

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

6600 9th Ave
Port Arthur, TX 77642
Phone (409) 962-5541

2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800

109 N McKinney St
Sweeny, TX 77480
Phone (409) 548-3383

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.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1730530924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 OAK HILL BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030586",
            "telephone_number": "903-939-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 OAK HILL BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030586",
            "telephone_number": "903-939-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERALL",
        "first_name": "SHARON",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.