NPIMap

Individual provider Active NPI

Sreeman N Jampana, M.D.

  • Internal Medicine Physician
  • Longview, TX
National Provider Identifier
1790776466
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G8712 Issued in TX
Practice address
1603 Judson Rd
Longview, TX 75601-3649
Phone
(903) 758-4491
Fax
(903) 758-0993
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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 G8712 TX Primary

Addresses

Primary practice location

1603 Judson Rd
Longview, TX 75601-3649

Mailing address

1603 Judson Rd
Longview, TX 75601-3649
Phone (903) 758-4491

Other identifiers 3

IdentifierTypeStateIssuer
752073536OtherCOMMERCIAL INSURANCES
123336301MedicaidTX
00HW82OtherTXBLUE CROSS

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
I20100114000417 TX Practitioner - Internal Medicine 8325144082 Reassigns benefits to 1 organization
Practice locations: Longview, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1603 Judson Rd
Longview, TX 75601-3649
Phone (903) 758-4491

Hospital & facility affiliations

  • Premier Home Care Home health agency, Longview, TX, CCN 743174
  • Highland Park Senior Care Home health agency, Longview, TX, CCN 459294
  • Enhabit Home Health Home health agency, Longview, TX, CCN 679079
  • Christus Good Shepherd Home health agency, Longview, TX, CCN 457691
  • Accentcare Home Health of Texas Home health agency, Longview, TX, CCN 679090
  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032
  • Longview Regional Medical Center Hospital, Longview, TX, CCN 450702

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sreeman Jampana, MD, PLLC Internal Medicine CurrentSince Feb 9, 2019 Accepting new patients
Isn Longview Associates PastSince May 1, 2006 Accepting new patients
Colonial Village LV Property, LTD Past Accepting new patients

Locations

1603 Judson Rd
Longview, TX 75601
Phone (903) 758-4491

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.

Hospital & facility affiliations 7

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1790776466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013649",
            "telephone_number": "903-758-4491",
            "fax_number": "903-758-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013649",
            "telephone_number": "903-758-4491",
            "fax_number": "903-758-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMPANA",
        "first_name": "SREEMAN",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G8712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "752073536",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123336301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00HW82",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.