Individual provider Active NPI

Karthik Sabapathy, D.O.

  • Pain Medicine Physician
  • Southlake, TX
National Provider Identifier
1124482740
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
T0913 Issued in TX
Practice address
1110 E State Highway 114 Ste 100
Southlake, TX 76092-5251
Phone
(817) 502-7411
Fax
(817) 502-7412
NPI assigned
Apr 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS020213 PA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X T0913 TX
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine Physician 208VP0000X T0913 TX Primary

Addresses

Primary practice location

1110 E State Highway 114 Ste 100
Southlake, TX 76092-5251

Mailing address

1110 E State Highway 114 Ste 100
Southlake, TX 76092-5251
Phone (817) 502-7411

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8521

Other practice location 2

175 Lancaster Blvd
Mechanicsburg, PA 17055-3562
Phone (717) 559-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190829000983 PA Practitioner - Physical Medicine and Rehabilitation 8325331648 Reassigns benefits to 1 organization
I20210812000114 TX Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 8325331648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Brain and Back Institute PLLCGroup PAC ID 0042432015, 6 clinicians

Practice addresses (Care Compare)

9525 N Beach St
Suite 405
Fort Worth, TX 76244-6438
Phone (817) 502-7411

Hospital & facility affiliations

  • Legent Orthopedic Hospital Hospital, Grapevine, TX, CCN 670265
  • Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883
  • Dallas Medical Center Hospital, Dallas, TX, CCN 450379

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS020213PAMDPhysical Medicine & Rehabilitation Physician
T0913TXMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Brain and Back Institute PLLC Pain Medicine CurrentSince Aug 1, 2021 Accepting new patients
Premier Medical Rehab LLC Physical Medicine & Rehabilitation CurrentSince Aug 16, 2019 Accepting new patients

Locations

253 N Hershey Rd
Harrisburg, PA 17112
Phone (717) 559-3111

175 Lancaster Blvd
Mechanicsburg, PA 17055
Phone (717) 691-3700

2617 Scripture St
Ste 102
Denton, TX 76201
Phone (940) 323-2225

9525 N Beach St
Ste 405
Fort Worth, TX 76244
Phone (940) 626-8073

3124 N Tarrant Pkwy
Ste 200
Ft Worth, TX 76177
Phone (817) 502-7323

1110 E State Highway 114
Ste 100
Southlake, TX 76092
Phone (817) 756-9892

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGAHCA/Endpoint/HGAHCA

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1124482740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E STATE HIGHWAY 114 STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925251",
            "telephone_number": "817-502-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E STATE HIGHWAY 114 STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925251",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Lancaster Blvd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170553562",
            "country_code": "US",
            "telephone_number": "717-559-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABAPATHY",
        "first_name": "KARTHIK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-09",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS020213",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "T0913",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "T0913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.