Active NPI
Sammy Lerma III, M.D.
- Family Medicine Physician
- Bastrop, TX
National Provider Identifier
1871571950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H6375
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0800674870 | Other | TX | RAILROAD MEDICARE |
| 139360508 | Medicaid | TX |
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
Enrollment records 1
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
- Jol Healthcare
- Enhabit Home Health
- Ascension Seton Hays
- Ascension Seton Smithville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6375 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sammy Lerma III MD PA | Family Medicine | Current | 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
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.548008
- 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.
-
- Family Medicine Physician
- Bastrop, TX
- NPI 1760542542
-
- Primary Care Clinic/Center
- Eagle Pass, TX
- NPI 1467583286
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kyle, TX
- NPI 1619115383
-
- Critical Access Hospital
- Smithville, TX
- NPI 1619726064
-
- Home Health Agency
- Buda, TX
- NPI 1053525006
-
- Home Health Agency
- San Antonio, TX
- NPI 1902886278
-
- Home Health Agency
- Bastrop, TX
- NPI 1083171573
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.