Individual provider Active NPI

Sarah Anne Kennedy, DO

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1275198988
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
U4238 Issued in TX
Practice address
12201 Merit Dr Ste 400
Dallas, TX 75251-3117
Phone
(469) 840-4888
Fax
(469) 840-4886
NPI assigned
May 8, 2019
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X U4238 TX Primary

Addresses

Primary practice location

12201 Merit Dr Ste 400
Dallas, TX 75251-3117

Mailing address

12201 Merit Dr Ste 400
Dallas, TX 75251-3117
Phone (469) 840-4888

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
I20190807001345 TX Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 2668709114

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark J Godat MD PA Obstetrics & Gynecology CurrentSince Jan 19, 2025 Accepting new patients

Locations

12201 Merit Dr
Ste 400
Dallas, TX 75251
Phone (469) 840-4888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11541/brand/5/csg/21/fhir/r4
  • Direct secure messaging: markjgodatmdpa.sarahkennedy@160764.advancedmd-direct.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, 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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1275198988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513117",
            "telephone_number": "469-840-4888",
            "fax_number": "469-840-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513117",
            "telephone_number": "469-840-4888",
            "fax_number": "469-840-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "U4238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.