Individual provider Active NPI

Sarah K Mastrogiovanni, D.O.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1205894623
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9121 Issued in TX
Practice address
4708 Dexter Dr Ste 400
Plano, TX 75093-5571
Phone
(972) 993-5050
Fax
(972) 993-5051
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K9121 TX Primary

Addresses

Primary practice location

4708 Dexter Dr Ste 400
Plano, TX 75093-5571

Mailing address

4708 Dexter Dr Ste 400
Plano, TX 75093-5571
Phone (972) 993-5050

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
I20120627000714 TX Practitioner - Family Practice 0143485094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abksw Preferred Health Partners, PLLCGroup PAC ID 2961710892, 48 clinicians

Practice addresses (Care Compare)

4708 Dexter Dr
Suite 400
Plano, TX 75093-5288
Phone (972) 993-5050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abksw Preferred Health Partners, PLLC CurrentSince May 1, 2024 Accepting new patients
Abksw Preferred Health Specialty Partners PLLC Current Accepting new patients

Locations

3417 Gaston Ave
Ste 700
Dallas, TX 75246
Phone (214) 823-4800

3535 Victory Group Way
Ste 330
Frisco, TX 75034
Phone (214) 823-4800

440 W Lyndon B Johnson Fwy
Ste 405
Irving, TX 75063
Phone (214) 823-4800

4708 Dexter Dr
Ste 400
Plano, TX 75093
Phone (214) 784-1779

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 1

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1205894623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 DEXTER DR STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935571",
            "telephone_number": "972-993-5050",
            "fax_number": "972-993-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 DEXTER DR STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935571",
            "telephone_number": "972-993-5050",
            "fax_number": "972-993-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROGIOVANNI",
        "first_name": "SARAH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.