Individual provider Active NPI

Sammy Lerma III, M.D.

  • Family Medicine Physician
  • Bastrop, TX
National Provider Identifier
1871571950
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H6375 Issued in TX
Practice address
1109 Church St
Bastrop, TX 78602-3206
Phone
(512) 321-3311
Fax
(512) 321-2611
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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 H6375 TX Primary

Addresses

Primary practice location

1109 Church St
Bastrop, TX 78602-3206

Mailing address

PO Box 664
Bastrop, TX 78602-0664
Phone (512) 321-3311

Other identifiers 2

IdentifierTypeStateIssuer
0800674870OtherTXRAILROAD MEDICARE
139360508MedicaidTX

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
I20100308000765 TX Practitioner - Family Practice 4183655442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1109 Church St
Bastrop, TX 78602-3206
Phone (512) 321-3311

Hospital & facility affiliations

  • Progressive Home Health Agency Home health agency, Buda, TX, CCN 453125
  • Jol Healthcare Home health agency, Bastrop, TX, CCN 747913
  • Enhabit Home Health Home health agency, San Antonio, TX, CCN 679044
  • Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
  • Ascension Seton Smithville Hospital, Smithville, TX, CCN 671304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6375TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sammy Lerma III MD PA Family Medicine CurrentSince Jan 1, 1995 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Maverick County Medical Family Center Past Accepting new patients

Locations

1109 Church St
Bastrop, TX 78602
Phone (512) 321-3311

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.548008
  • Direct secure messaging: slerma@slmd.gwaydirect.com

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1871571950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786020664",
            "telephone_number": "512-321-3311",
            "fax_number": "512-321-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 CHURCH ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023206",
            "telephone_number": "512-321-3311",
            "fax_number": "512-321-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERMA",
        "first_name": "SAMMY",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0800674870",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139360508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.