Individual provider Active NPI

Sharon Smith Raimer, M.D.

  • Dermatology Physician
  • Galveston, TX
National Provider Identifier
1891739892
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E7341 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555-5302
Phone
(409) 747-0890
Fax
(409) 772-0885
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X E7341 TX Primary

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555-5302

Mailing address

301 University Blvd
Provider Enrollment -- RT. 1022
Galveston, TX 77555-5302
Phone (409) 747-0890

Other identifiers 1

IdentifierTypeStateIssuer
133769301MedicaidTX

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
I20060629000131 TX Practitioner - Dermatology 7315959764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

6710 Stewart Rd
Suite 100
Galveston, TX 77551-2216
Phone (409) 744-4030

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E7341TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Dermatology CurrentSince Sep 1, 1998 Accepting new patients

Locations

3828 Ursuline St
Galveston, TX 77550
Phone (409) 761-3200

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

301 University Blvd
#1022
Galveston, TX 77555
Phone (409) 772-0848

1110 Nasa Pkwy
Ste 650
Houston, TX 77058
Phone (409) 772-0770

2785 Gulf Fwy S
Ste 165
League City, TX 77573
Phone (832) 505-0139

6465 S Shore Blvd
Ste 500
League City, TX 77573
Phone (281) 538-7735

2100 Preston St
Richmond, TX 77469
Phone (281) 232-2075

Interoperability endpoints

  • Direct secure messaging: sraimermd15845@direct.utmb.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1891739892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "PROVIDER ENROLLMENT -- RT. 1022",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-747-0890",
            "fax_number": "409-772-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-747-0890",
            "fax_number": "409-772-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMER",
        "first_name": "SHARON",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E7341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133769301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.