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TEXAS MODERN GASTROENTEROLOGY
NPI 1902494743
Internal Medicine - Gastroenterology in Sulphur Springs, TX

Active since January 07, 2021
1216 CHURCH ST, SULPHUR SPRINGS, TX 75482(903) 588-2222(903) 588-2225 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2021, Jan 7, 2021 (2 updates tracked since 2021).

About Texas Modern Gastroenterology NPPES

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

TEXAS MODERN GASTROENTEROLOGY (NPI 1902494743) is a healthcare organization registered as a gastroenterology in Sulphur Springs, Texas and active in the NPI registry since January 2021. The organization lists Vivian Sami Ebrahim, Physician Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1902494743
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameTEXAS MODERN GASTROENTEROLOGY
Location Address1216 CHURCH STSulphur Springs, TX 75482-2108
Mailing Address1216 Church StSulphur Springs, TX 75482-2108 · (903) 588-2222 · Fax (903) 588-2225
Phone(903) 588-2222
Fax(903) 588-2225
Organization SubpartNo
Authorized OfficialVivian Sami EbrahimPhysician Owner/physician · (214) 729-0111
Enumeration DateJanuary 7, 2021
Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1902494743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1216 CHURCH ST, Sulphur Springs, TX 75482
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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)

Texas Modern Gastroenterology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Texas Modern Gastroenterology, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Vivian Ebrahim, M.D.
Gastroenterology
NPI 1073870440
1216 CHURCH ST
Sulphur Springs, TX 75482
(903) 558-2222
✔ PECOS✔ Accepts MedicareSame address
Mena Milad, M.D.
Gastroenterology
NPI 1912265968
1216 CHURCH ST
Sulphur Springs, TX 75482
(903) 558-2222
✔ 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.

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 Texas Modern Gastroenterology's NPI number?

The NPI number for Texas Modern Gastroenterology is 1902494743. It was assigned to this organization in the NPPES registry on January 7, 2021.

Where is Texas Modern Gastroenterology located?

Texas Modern Gastroenterology is located at 1216 Church St, Sulphur Springs, TX 75482. The listed phone number is (903) 588-2222.

What is Texas Modern Gastroenterology's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Texas Modern Gastroenterology enrolled in Medicare?

Yes. Texas Modern Gastroenterology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Texas Modern Gastroenterology?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Gastroenterology, reassign their Medicare billing to Texas Modern Gastroenterology. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Texas Modern Gastroenterology was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.