Individual provider Active NPI

Abraham Sanchez, PA

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1396217287
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14242 Issued in TX
Practice address
810 N Zang Blvd
Dallas, TX 75208-4263
Phone
(214) 941-4243
Fax
(214) 941-1153
NPI assigned
Dec 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12955 MN
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA14242 TX Primary

Addresses

Primary practice location

810 N Zang Blvd
Dallas, TX 75208-4263

Mailing address

810 N Zang Blvd
Dallas, TX 75208-4263
Phone (214) 941-4243

Other practice location 1

Mayo Clinic Health System Southeast Minnesota Region
701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone (651) 267-5000

Other practice location 2

3672 E Hammond Ave
Cudahy, WI 53110-1915
Phone (414) 326-8731

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asanchez580352@ehrdirect.mayoclinicmsg.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011002861 TX Practitioner - Physician Assistant 4486994555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

1201 E Hwy 287
Midlothian, TX 76065-4107
Phone (469) 695-2065

12230 Coit Rd
Suite 130
Dallas, TX 75251-2323
Phone (214) 941-4243

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 833-3478

3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624

613 S Hwy 78
Suite 200
Wylie, TX 75098-5525
Phone (972) 941-8700

810 N Zang Blvd
Dallas, TX 75208-4263
Phone (214) 941-4243

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14242TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Current Accepting new patients
Medhealth CurrentSince Nov 29, 2021 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

810 N Zang Blvd
Dallas, TX 75208
Phone (214) 941-4243

1411 N Beckley Ave
Dallas, TX 75203
Phone (214) 947-4699

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: asanchez161747@dm.mhd.com
  • Direct secure messaging: asanchez580352@ehrdirect.mayoclinicmsg.org

Organizations & group practices 3

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1396217287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N ZANG BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084263",
            "telephone_number": "214-941-4243",
            "fax_number": "214-941-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N ZANG BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084263",
            "telephone_number": "214-941-4243",
            "fax_number": "214-941-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Mayo Clinic Health System Southeast Minnesota Region",
            "address_2": "701 Hewitt Blvd",
            "address_purpose": "LOCATION",
            "city": "Red Wing",
            "state": "MN",
            "postal_code": "550662848",
            "country_code": "US",
            "telephone_number": "651-267-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3672 E Hammond Ave",
            "address_purpose": "LOCATION",
            "city": "Cudahy",
            "state": "WI",
            "postal_code": "531101915",
            "country_code": "US",
            "telephone_number": "414-326-8731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ABRAHAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12955",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asanchez580352@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "Mayo Clinic Health System Southeast Minnesota Region",
            "address_2": "701 Hewitt Blvd",
            "city": "Red Wing",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550662848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.