Individual provider Active NPI

Sander Jay Gothard, M.D.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1336285840
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K1202 Issued in TX
Practice address
5655 West Spring Creek Pkwy
Suite 200
Plano, TX 75024
Phone
(972) 599-9600
Fax
(972) 599-9696
NPI assigned
Jan 30, 2007
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 K1202 TX Primary

Addresses

Primary practice location

5655 West Spring Creek Pkwy
Suite 200
Plano, TX 75024

Mailing address

5655 West Spring Creek Pkwy
Suite 200
Plano, TX 75024
Phone (972) 599-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sander.gothard.1@30724.direct.athenahealth.com Direct

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
I20071114000351 TX Practitioner - Family Practice 4688762321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catalyst Physician Group - NTX, PLLCGroup PAC ID 4284074758, 87 clinicians

Practice addresses (Care Compare)

5655 W Spring Creek Pkwy
Plano, TX 75024-4174
Phone (972) 599-9600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1202TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Village Health Partners, PA Family Medicine CurrentSince Jan 1, 2006 Accepting new patients
North Texas Village Health Partners, PA Current Accepting new patients
Catalyst Physician Group - NTX, PLLC Family Medicine CurrentSince May 1, 2024 Accepting new patients
Village Family Practice, L.L.P Family Medicine Past Accepting new patients

Locations

469 Westpark Way
Euless, TX 76040
Phone (817) 283-2888

1610 Commons Cir
Northlake, TX 76226
Phone (940) 725-3400

5425 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 599-9600

5425 W Spring Creek Pkwy
Ste 200
Plano, TX 75024
Phone (972) 599-9600

5655 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 566-9600

5655 W Spring Creek Pkwy
Ste 200
Plano, TX 75024
Phone (972) 599-9600

8277 Belleview Dr
Plano, TX 75024
Phone (214) 291-5087

Interoperability endpoints

  • Direct secure messaging: sander.gothard.1@30724.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1336285840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 WEST SPRING CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-599-9600",
            "fax_number": "972-599-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 WEST SPRING CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-599-9600",
            "fax_number": "972-599-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTHARD",
        "first_name": "SANDER",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sander.gothard.1@30724.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5655 West Spring Creek Pkwy",
            "address_2": "Suite 200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.