Individual provider Active NPI

Maria Alejandra Vallejo-Nieto, M.D.

  • Family Medicine Physician
  • Sherman, TX
National Provider Identifier
1962637967
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P1703 Issued in TX
Practice address
2907 Overland TRL Ste 200
Sherman, TX 75092-4498
Phone
(903) 416-2650
Fax
(903) 416-2651
NPI assigned
May 19, 2009
Last updated
Aug 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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 P1703 TX Primary

Addresses

Primary practice location

2907 Overland TRL Ste 200
Sherman, TX 75092-4498

Mailing address

5012 S US Hwy 75, Suite 300
Attn Billing
Denison, TX 75020-4589
Phone (903) 416-2650

Other practice location 1

557 W Fm 120
Pottsboro, TX 75076-9039
Phone (903) 786-3911

Other identifiers 1

IdentifierTypeStateIssuer
2998783-05MedicaidTX

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
I20120723000784 TX Practitioner - Family Practice 1759547524 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
TexomacareGroup PAC ID 3678555307, 47 clinicians

Practice addresses (Care Compare)

2907 Overland TRL
Suite 200
Sherman, TX 75092-4498
Phone (903) 892-1005

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texomacare Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Texomacare Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
McAllen Hospitalist Group, PLLC Family Medicine Past Accepting new patients

Locations

3126 W FM 120
Denison, TX 75020
Phone (903) 416-7544

5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726

5012 US Highway 75
Ste 100
Denison, TX 75020
Phone (903) 416-6325

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

557 W FM 120
Pottsboro, TX 75076
Phone (903) 786-3911

2600 N US Highway 75
Ste 200
Sherman, TX 75090
Phone (903) 416-5500

2907 Overland Trl
Apt 200
Sherman, TX 75092
Phone (903) 416-2650

Interoperability endpoints

  • Direct secure messaging: maria.vallejonieto@tc.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1962637967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HWY 75, SUITE 300",
            "address_2": "ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 OVERLAND TRL STE 200",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750924498",
            "telephone_number": "903-416-2650",
            "fax_number": "903-416-2651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "557 W Fm 120",
            "address_purpose": "LOCATION",
            "city": "Pottsboro",
            "state": "TX",
            "postal_code": "750769039",
            "country_code": "US",
            "telephone_number": "903-786-3911",
            "fax_number": "903-786-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLEJO-NIETO",
        "first_name": "MARIA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2998783-05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.