NPIMap

Individual provider Active NPI

Sonam Tshering Sherpa, DO

  • Family Medicine Physician
  • Myerstown, PA
National Provider Identifier
1891354189
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS021071 Issued in PA
Practice address
431 W Lincoln Ave
Myerstown, PA 17067-2328
Phone
(717) 866-5755
Fax
(717) 866-7120
NPI assigned
Jun 10, 2019
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OT019140 PA
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS021071 PA Primary

Addresses

Primary practice location

431 W Lincoln Ave
Myerstown, PA 17067-2328

Mailing address

431 W Lincoln Ave
Myerstown, PA 17067-2328
Phone (717) 866-5755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220510002658 PA Practitioner - Family Practice 6800123274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Myerstown Family Practice PCGroup PAC ID 4183617954, 2 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

431 W Lincoln Ave
Myerstown, PA 17067-2328
Phone (717) 866-5755

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT019140PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Myerstown Family Practice PC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients

Locations

431 W Lincoln Ave
Myerstown, PA 17067
Phone (717) 866-5755

Interoperability endpoints

  • Direct secure messaging: ssherpa@mfp.medentdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 11

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1891354189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W LINCOLN AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672328",
            "telephone_number": "717-866-5755",
            "fax_number": "717-866-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W LINCOLN AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672328",
            "telephone_number": "717-866-5755",
            "fax_number": "717-866-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERPA",
        "first_name": "SONAM",
        "middle_name": "TSHERING",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT019140",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS021071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myerstown, PA

Sources for this page

Verify at the official NPI Registry.