NPIMap

Individual provider Active NPI

Mariyam Cherry, M.D.

  • Internal Medicine Physician
  • Lufkin, TX
National Provider Identifier
1750726550
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q8705 Issued in TX
Practice address
107 Medical Park Dr Ste B
Lufkin, TX 75904-3135
Phone
(936) 899-5682
Fax
(936) 899-5685
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q8705 TX Primary

Addresses

Primary practice location

107 Medical Park Dr Ste B
Lufkin, TX 75904-3135

Mailing address

107 Medical Park Dr Ste B
Lufkin, TX 75904-3135
Phone (936) 899-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160929000407 TX Practitioner - Family PracticePractitioner - Internal Medicine 1052608460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Pennsylvania State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

107 Medical Park Dr
Lufkin, TX 75904-3135
Phone (936) 634-6333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.84 of 100Reported as individual
Quality
89.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Internal Medicine Current Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Sep 1, 2016 Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Cherry Internal Medicine Clinic of East Texas PA Internal Medicine CurrentSince Aug 24, 2020 Accepting new patients

Locations

107 Medical Park Dr
Lufkin, TX 75904
Phone (936) 526-6162

10 Medical Center Blvd
Ste J
Lufkin, TX 75904
Phone (936) 634-8854

107 Medical Park Dr
Ste B
Lufkin, TX 75904
Phone (936) 899-5682

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.

Hospital & facility affiliations 8

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1750726550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MEDICAL PARK DR STE B",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043135",
            "telephone_number": "936-899-5682",
            "fax_number": "936-899-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MEDICAL PARK DR STE B",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043135",
            "telephone_number": "936-899-5682",
            "fax_number": "936-899-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "MARIYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q8705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.