Individual provider Active NPI

Sarah Haley Gross, MD

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1003313818
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
V3310 Issued in TX
Practice address
14615 San Pedro Ave Ste 218-220
San Antonio, TX 78232-4321
Phone
(210) 644-3650
Fax
(210) 702-6979
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 202101212 NC
Pediatrics Physician 208000000X V3310 TX Primary

Addresses

Primary practice location

14615 San Pedro Ave Ste 218-220
San Antonio, TX 78232-4321

Mailing address

903 W Martin St # Ms 49-2
San Antonio, TX 78207-0903
Phone (210) 358-5909

Other practice location 1

4020 Naco Perrin Blvd
San Antonio, TX 78217-2579
Phone (210) 644-8900

Other names 1

  • Sarah Mary Haley Former name

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
I20240907000573 TX Practitioner - Pediatric Medicine 5799180972 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202101212NCMDPediatrics Physician
V3310TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Pediatrics CurrentSince Aug 23, 2024 Accepting new patients

Locations

5282 Medical Dr
Ste 240
San Antonio, TX 78229
Phone (210) 358-8820

14615 San Pedro Ave
Ste 218220
San Antonio, TX 78232
Phone (210) 644-3050

14615 San Pedro Ave
Ste 218
San Antonio, TX 78232
Phone (210) 495-4200

4020 Naco Perrin Blvd
San Antonio, TX 78217
Phone (210) 207-5000

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: sgross494160@direct.medicine.duke.edu
  • Direct secure messaging: sgross690675@uhssa.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1003313818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W MARTIN ST # MS 49-2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782070903",
            "telephone_number": "210-358-5909",
            "fax_number": "210-358-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14615 SAN PEDRO AVE STE 218-220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324321",
            "telephone_number": "210-644-3650",
            "fax_number": "210-702-6979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 Naco Perrin Blvd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782172579",
            "country_code": "US",
            "telephone_number": "210-644-8900",
            "fax_number": "210-644-8925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "SARAH",
        "middle_name": "HALEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "202101212",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V3310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HALEY",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.