Individual provider Active NPI

Jorge A Sifuentes Jr., M.D.

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1841297421
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0922 Issued in TX
Practice address
4510 Bell St
Amarillo, TX 79109-5714
Phone
(806) 212-4835
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M0922 TX Primary

Addresses

Primary practice location

4510 Bell St
Amarillo, TX 79109-5714

Mailing address

713 N. Deahl
Borger, TX 79007
Phone (806) 274-7057

Other practice location 1

1600 Wallace Blvd
Amarillo, TX 79106-1789
Phone (806) 212-2000

Other practice location 2

713 Deahl St
Borger, TX 79007-3522
Phone (806) 274-7057

Other identifiers 3

IdentifierTypeStateIssuer
11522380OtherTXCAQH
7162687OtherTXAETNA
8S2900OtherTXBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JORGE.SIFUENTES@JASM.ECLINICALDIRECT.COM Health Information Exchange (HIE)

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
I20250529002233 TX Practitioner - Family Practice 0244268068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians

Practice addresses (Care Compare)

4510 Bell St
Amarillo, TX 79109-5714
Phone (806) 212-4835

Hospital & facility affiliations

  • Excelacare Hospice Hospice, Lubbock, TX, CCN 671561
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Golden Plains Community Hospital Hospital, Borger, TX, CCN 451369
  • Caprock Nursing & Rehabilitation Nursing home, Borger, TX, CCN 676341

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bsa Physicians Group Inc Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Bsa Physicians Group Inc CurrentSince Jun 1, 2025 Accepting new patients
J Shane Rhoton MD PA PastSince Jul 1, 2005 Accepting new patients

Locations

4510 Bell St
Amarillo, TX 79109
Phone (806) 212-4835

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

Interoperability endpoints

  • Direct secure messaging: jorge.sifuentes@jasm.eclinicaldirectplus.com
  • Direct secure messaging: jorge.sifuentes@jasm.eclinicaldirect.com
  • Direct secure messaging: jsifuentes1335454@ahs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFEECA/Endpoint/HFEECA

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 5

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1841297421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N. DEAHL",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "79007",
            "telephone_number": "806-274-7057",
            "fax_number": "806-274-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 BELL ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095714",
            "telephone_number": "806-212-4835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Wallace Blvd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061789",
            "country_code": "US",
            "telephone_number": "806-212-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Deahl St",
            "address_purpose": "LOCATION",
            "city": "Borger",
            "state": "TX",
            "postal_code": "790073522",
            "country_code": "US",
            "telephone_number": "806-274-7057",
            "fax_number": "806-274-2531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIFUENTES",
        "first_name": "JORGE",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11522380",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7162687",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8S2900",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JORGE.SIFUENTES@JASM.ECLINICALDIRECT.COM",
            "affiliation": "N",
            "endpointDescription": "P2P ADDRESS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "713 Deahl St",
            "city": "Borger",
            "state": "TX",
            "country_code": "US",
            "postal_code": "790073522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.