Active NPI
Sacha Imran Obaid, M.D.
- Plastic Surgery Physician
- Southlake, TX
National Provider Identifier
1295941169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- M7486
- Practice address
- 1545 E Southlake Blvd
Suite 250
Southlake, TX 76092-6422 - Phone
- (214) 663-4339
- NPI assigned
- May 15, 2007
- Last updated
- Oct 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 240663 | NY | |
| Plastic Surgery Physician | 208200000X | M7486 | TX | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 240663 | NY |
Addresses
Primary practice location
1545 E Southlake Blvd
Suite 250
Southlake, TX 76092-6422
Mailing address
415 E Southlake Blvd
Ste 202
Southlake, TX 76092-6280
Phone (214) 663-4339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240663 | NY | MD | Plastic and Reconstructive Surgery Physician |
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.
-
- Plastic Surgery Physician
- Southlake, TX
- NPI 1053506923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1295941169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E SOUTHLAKE BLVD",
"address_2": "STE 202",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926280",
"telephone_number": "214-663-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 E SOUTHLAKE BLVD",
"address_2": "SUITE 250",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926422",
"telephone_number": "214-663-4339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBAID",
"first_name": "SACHA",
"middle_name": "IMRAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "240663",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "M7486",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NY",
"license": "240663",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.