Active NPI
Kara Elizabeth Sjogren, D.O.
- Family Medicine Physician
- Ennis, TX
National Provider Identifier
1992142533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q6574
- Practice address
- 711 W Lampasas St
Ennis, TX 75119-4533 - Phone
- (972) 846-4800
- Fax
- (972) 947-5257
- NPI assigned
- May 22, 2013
- Last updated
- Oct 22, 2024
- Sex
- Female
- 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 | Q6574 | TX | Primary |
Addresses
Primary practice location
711 W Lampasas St
Ennis, TX 75119-4533
Mailing address
711 W Lampasas St
Ennis, TX 75119-4533
Phone (972) 846-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300012947 | Medicaid | IN | |
| 7100436580 | Medicaid | KY |
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 North Texas HSC, College of Osteopathic Med, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
711 W Lampasas St
Ennis, TX 75119-4533
Phone (972) 846-4800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q6574 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Health Direct Primary Care, PLLC | Current | Accepting new patients |
Locations
1905 W Ennis Ave
Ste 504B
Ennis, TX 75119
Phone (972) 846-4800
711 W Lampasas St
Ennis, TX 75119
Phone (469) 788-7599
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.
-
- Primary Care Clinic/Center
- Ennis, TX
- NPI 1760004188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1992142533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W LAMPASAS ST",
"city": "ENNIS",
"state": "TX",
"postal_code": "751194533",
"telephone_number": "972-846-4800",
"fax_number": "972-947-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W LAMPASAS ST",
"city": "ENNIS",
"state": "TX",
"postal_code": "751194533",
"telephone_number": "972-846-4800",
"fax_number": "972-947-5257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SJOGREN",
"first_name": "KARA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q6574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300012947",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100436580",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ennis, TX
- Senior Living Properties LLC (Claystone Healthcare Center)
- Donna L Shoop, LPC
- Silver Star Medical Resources, LLC
- Robert A Silverman, MD
- Tory Magdalene Simpson, MSN FNP-C
- Melissa Faye Skinner, MSN, APRN, FNP-C
- Sleep Centers of Texas (Greater Dallas Lung and Sleep Clinic)
- Sleep Centers of Texas (Greater Dallas Lung and Sleep Clinic)
- Sleep Specialties, LLC (Sleep Specialties)
- Meryle Dorothy Smith, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.