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CHERRY INTERNAL MEDICINE CLINIC OF EAST TEXAS PA
NPI 1316563778
Internal Medicine in Lufkin, TX

Active since June 22, 2020CLIA 45D2215516 · Waiver
107 MEDICAL PARK DR, LUFKIN, TX 75904(936) 634-6333(936) 634-6337 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2025, Jun 22, 2020 (2 updates tracked since 2020).

About Cherry Internal Medicine Clinic Of East Texas Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERRY INTERNAL MEDICINE CLINIC OF EAST TEXAS PA (NPI 1316563778) is a healthcare organization registered as an internal medicine in Lufkin, Texas and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Mariyam Cherry, Owner, as its authorized official.

NPPES Registry Identity

NPI1316563778
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCHERRY INTERNAL MEDICINE CLINIC OF EAST TEXAS PA
Location Address107 MEDICAL PARK DRLufkin, TX 75904-3135
Mailing Address107 Medical Park Dr Ste BLufkin, TX 75904-3135 · (936) 899-5682 · Fax (936) 899-5685
Phone(936) 634-6333
Fax(936) 634-6337
Organization SubpartNo
Authorized OfficialMariyam CherryOwner · (936) 899-5682
Enumeration DateJune 22, 2020
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1316563778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
107 MEDICAL PARK DR, Lufkin, TX 75904
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cherry Internal Medicine Clinic Of East Texas Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cherry Internal Medicine Clinic Of East Texas PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mariyam Cherry, M.D.
Family Practice
NPI 1750726550
107 MEDICAL PARK DR STE B
Lufkin, TX 75904
(936) 899-5682
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2215516

Cherry Internal Medicine Clinic Of East Texas · Lufkin, TX
Active · expires Mar 3, 2027
CLIA Number45D2215516
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorMariyam S. Cherry
Laboratory Phone(936) 899-5682
Laboratory LocationCherry Internal Medicine Clinic Of East Texas107 Medical Park Dr, Suite B, Lufkin, TX 75904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cherry Internal Medicine Clinic Of East Texas PA's NPI number?

The NPI number for Cherry Internal Medicine Clinic Of East Texas PA is 1316563778. It was assigned to this organization in the NPPES registry on June 22, 2020.

Where is Cherry Internal Medicine Clinic Of East Texas PA located?

Cherry Internal Medicine Clinic Of East Texas PA is located at 107 Medical Park Dr, Lufkin, TX 75904. The listed phone number is (936) 634-6333.

What is Cherry Internal Medicine Clinic Of East Texas PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cherry Internal Medicine Clinic Of East Texas PA enrolled in Medicare?

Yes. Cherry Internal Medicine Clinic Of East Texas PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cherry Internal Medicine Clinic Of East Texas PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Cherry Internal Medicine Clinic Of East Texas PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cherry Internal Medicine Clinic Of East Texas PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2215516) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cherry Internal Medicine Clinic Of East Texas PA was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.