Individual provider Active NPI

Sandra R. Haldeman, M.D.

  • Gynecology Physician
  • Houston, TX
National Provider Identifier
1396796959
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
K5042 Issued in TX
Practice address
7400 Fannin St
Suite 755
Houston, TX 77054-1920
Phone
(713) 658-0358
Fax
(713) 658-9414
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X K5042 TX Primary

Addresses

Primary practice location

7400 Fannin St
Suite 755
Houston, TX 77054-1920

Mailing address

15515 Torry Pines Rd
Houston, TX 77062-3419
Phone (832) 483-8988

Other identifiers 2

IdentifierTypeStateIssuer
160055548OtherTXRR MEDICARE
45D0983699OtherTXCLIA

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

LicenseStateTypeSpecialty
K5042TXMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James M. Wheeler, MD, MPH, PA Gynecology Past Accepting new patients
Dolar S. Patolia, M.D.,P.a. PastSince Jul 1, 2020 Accepting new patients
The Center for Womens Healthcare Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sandra.haldeman.1@20443.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396796959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 TORRY PINES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770623419",
            "telephone_number": "832-483-8988",
            "fax_number": "281-990-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST",
            "address_2": "SUITE 755",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541920",
            "telephone_number": "713-658-0358",
            "fax_number": "713-658-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDEMAN",
        "first_name": "SANDRA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "K5042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "160055548",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0983699",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.