Sarah Backof

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1011378 Issued in TX

Practice address

9055 Katy Fwy Ste 200
Houston, TX 77024-1629

Phone

(713) 461-2915

Fax

(713) 461-5307

NPI assigned

Oct 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX, KS, AZ, MI, CO, GA, KY7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 7

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sarah.backof.1@13711.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21654/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/13711/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/21803/brand/1/csg/1/fhir/r4
• Direct secure messaging: sarah.backof.1@22064.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22064/brand/1/csg/1/fhir/r4
• Direct secure messaging: sarah.backof.1@21533.direct.athenahealth.com

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.

• Villagemd of Southeast Texas, PA

  • Family Medicine Physician
  • Houston, TX
  • NPI 1841643327

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  Medicare reassignment Care Compare group NPD
• K Stat Urgent Care PA

  • Urgent Care Clinic/Center
  • Manhattan, KS
  • NPI 1356553481
  Medicare reassignment NPD
• Qcpi-Villagemd, PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1558872432
  Medicare reassignment NPD
• VMD Primary Providers Central Kentucky

  • Internal Medicine Physician
  • Murray, KY
  • NPI 1831674654

  Nurse Practitioner

  Medicare reassignment NPD
• VMD Primary Providers Colorado, Inc

  • Primary Care Clinic/Center
  • Fort Collins, CO
  • NPI 1275646614
  Medicare reassignment NPD
• VMD Primary Providers Eastern Michigan, PC

  • Family Medicine Physician
  • Novi, MI
  • NPI 1336625540
  Medicare reassignment NPD
• Village Family Practice, L.L.P

  • Family Medicine Physician
  • Houston, TX
  • NPI 1083619191
  NPD
• Primary Care Medical Center Inc

  • Family Medicine Physician
  • Murray, KY
  • NPI 1295716694
  NPD
• VMD Primary Providers Central Kentucky

  • Rural Health Clinic/Center
  • Lebanon, KY
  • NPI 1063120194
  NPD

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1003413121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360557",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516557",
            "telephone_number": "915-444-5460",
            "fax_number": "915-225-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241629",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3961 E Lohman Ave",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118269",
            "country_code": "US",
            "telephone_number": "575-652-3358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12201 Montwood Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799382620",
            "country_code": "US",
            "telephone_number": "915-444-5460",
            "fax_number": "915-225-3745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACKOF",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1011378",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1011378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.backof.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "12201 Montwood Dr",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799382620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.backof.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9055 Katy Fwy Ste 200",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770241629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Backed by Blackmon
• Susan E Backes, MD
• Backham LLC
• Sami Backley, MD
• Tamaria Backman
• Jordon Backor, NP
• Jennifer Alison Backus, MD, RD
• Erica Bacolod, LPTA
• Alexis Victoria Bacon-Yates, MS., ED.
• Gayle Bacon, M.S., CCC-SLP

• Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.