Individual provider Active NPI

Sharon Ruth Cebik, M.D.

  • Internal Medicine Physician
  • Irving, TX
National Provider Identifier
1841401361
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M7093 Issued in TX
Practice address
2021 N Macarthur Blvd
Suite 350
Irving, TX 75061-2219
Phone
(972) 253-4265
Fax
(972) 253-4227
NPI assigned
May 25, 2007
Last updated
Mar 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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 M7093 TX Primary

Addresses

Primary practice location

2021 N Macarthur Blvd
Suite 350
Irving, TX 75061-2219

Mailing address

2021 N Macarthur Blvd Ste 150
Irving, TX 75061-2210
Phone (972) 253-2650

Other identifiers 2

IdentifierTypeStateIssuer
1907552 01MedicaidTX
8J8792OtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221003000795 CA Practitioner - Internal Medicine 7214021559 Reassigns benefits to 2 organizations
I20231009003028 AZ Practitioner - Internal Medicine 7214021559 Reassigns benefits to 1 organization
I20250417001957 MN Practitioner - Family Practice 7214021559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians

Practice addresses (Care Compare)

1230 E Main St
Mankato, MN 56001-5066
Phone (507) 389-8509

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7093TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enara Health Group, P.C. Internal Medicine CurrentSince Jun 10, 2022 Accepting new patients
Enara Health, Inc CurrentSince Jun 2, 2024 Accepting new patients
Phoenix Heart, PLLC CurrentSince Aug 26, 2023 Accepting new patients
Mankato Clinic LTD Family Medicine CurrentSince Jan 16, 2025 Accepting new patients
Phoenix Heart, PLLC CurrentSince Aug 26, 2023 Accepting new patients
Good Heart Medical Group a Professional Corporation CurrentSince Oct 1, 2024 Accepting new patients

Locations

19251 E Oasis Dr
Black Cyn Cty, AZ 85324
Phone (602) 298-7777

5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306
Phone (602) 298-7777

41818 N Venture Dr
Ste 110
Phoenix, AZ 85086
Phone (602) 298-7777

3050 S Delaware St
Ste 130
San Mateo, CA 94403
Phone (650) 319-8654

1220 Hemlock Way
Ste 204
Santa Ana, CA 92707
Phone (714) 266-1666

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1841401361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD STE 150",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612210",
            "telephone_number": "972-253-2650",
            "fax_number": "972-253-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD",
            "address_2": "SUITE 350",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612219",
            "telephone_number": "972-253-4265",
            "fax_number": "972-253-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBIK",
        "first_name": "SHARON",
        "middle_name": "RUTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M7093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1907552 01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8J8792",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.