Individual provider Active NPI

Jill M. Saffran-Sedacca, (M.D.)

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1225131089
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J9318 Issued in TX
Practice address
9540 Garland Rd
Ste 410
Dallas, TX 75218-5004
Phone
(469) 804-3507
Fax
(214) 660-8950
NPI assigned
Sep 7, 2006
Last updated
Nov 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J9318 TX Primary

Addresses

Primary practice location

9540 Garland Rd
Ste 410
Dallas, TX 75218-5004

Mailing address

9540 Garland Rd
Ste 410
Dallas, TX 75218-5004
Phone (469) 804-3507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA2 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
I20090414000657 TX Practitioner - Pediatric Medicine 7113074949 Reassigns benefits to 1 organization
I20230619000375 MA Practitioner - Pediatric Medicine 7113074949 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 1, 2016 Accepting new patients
Reliant Medical Group, Inc Pediatrics CurrentSince Jun 5, 2023 Accepting new patients
Healthtexas Provider Network Pediatrics CurrentSince Jan 1, 2016 Accepting new patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients

Locations

761 Worcester Rd
Framingham, MA 01701
Phone (508) 872-1107

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

5 Neponset St
Fl 12
Worcester, MA 01606
Phone (508) 852-6175

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

Interoperability endpoints

  • Direct secure messaging: jill.saffransedacca.npi1225131089.reliant@direct.optumcare.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1225131089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9540 GARLAND RD",
            "address_2": "STE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752185004",
            "telephone_number": "469-804-3507",
            "fax_number": "214-660-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9540 GARLAND RD",
            "address_2": "STE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752185004",
            "telephone_number": "469-804-3507",
            "fax_number": "214-660-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFRAN-SEDACCA",
        "first_name": "JILL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "(M.D.)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.