Active NPI
Deke Steven Eberhard, M.D.
- Family Medicine Physician
- Edna, TX
National Provider Identifier
1982135299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S8704
- Practice address
- 1013 S Wells St
Edna, TX 77957-4045 - Phone
- (361) 782-7820
- Fax
- (361) 782-5627
- NPI assigned
- Mar 27, 2017
- 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 | S8704 | TX | Primary |
Addresses
Primary practice location
1013 S Wells St
Edna, TX 77957-4045
Mailing address
1013 S Wells St
Edna, TX 77957-4045
Phone (361) 782-7820
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deke.eberhard.2@1902.direct.athenahealth.com |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200812002759 | TX | Practitioner - Family Practice | 2668898313 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jackson County Hospital District
Practice addresses (Care Compare)
1013 S Wells St
Edna, TX 77957-4045
Phone (361) 782-7800
Hospital & facility affiliations
- Jackson County Home Health
- Jackson Healthcare Center
- Citizens Medical Center
- De Tar Hospital Navarro
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Hospital District | Current | Accepting new patients | |
| Jackson County Hospital District | Current | Accepting new patients | |
| Jackson County Hospital District | Current | Accepting new patients | |
| Victoria Hospitalist Associates, LLC | Current | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
1013A S Wells St
Edna, TX 77957
Phone (361) 782-3560
1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241
501 E Colorado St
Victoria, TX 77901
Phone (361) 571-5283
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
Organizations & group practices 9
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.
-
- Rural Health Clinic/Center
- Ganado, TX
- NPI 1679445654
-
- Home Health Agency
- Edna, TX
- NPI 1285677401
-
- Land Ambulance
- Edna, TX
- NPI 1710261573
-
- Medicare Defined Swing Bed Hospital Unit
- Edna, TX
- NPI 1841371739
-
- Rural Health Clinic/Center
- Edna, TX
- NPI 1992748693
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital
-
- Home Health Agency
- Edna, TX
- NPI 1285677401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1982135299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 S WELLS ST",
"city": "EDNA",
"state": "TX",
"postal_code": "779574045",
"telephone_number": "361-782-7820",
"fax_number": "361-782-5627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 S WELLS ST",
"city": "EDNA",
"state": "TX",
"postal_code": "779574045",
"telephone_number": "361-782-7820",
"fax_number": "361-782-5627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERHARD",
"first_name": "DEKE",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-27",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S8704",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deke.eberhard.2@1902.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "501 E Colorado St",
"city": "Victoria",
"state": "TX",
"country_code": "US",
"postal_code": "779016025",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Edna, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.