Active NPI
Jeffrey Scott Sandate, MD
- Obstetrics & Gynecology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- M9632
- Practice address
- 1135 N Bishop Ave
Dallas, TX 75208-4114 - Phone
- (214) 942-3100
- NPI assigned
- Jun 14, 2007
- Last updated
- Dec 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | BP1-0017166 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | M9632 | TX | Primary |
Addresses
Primary practice location
1135 N Bishop Ave
Dallas, TX 75208-4114
Mailing address
1135 N Bishop Ave
Dallas, TX 75208-4114
Phone (214) 942-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201691701 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of New Mexico School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 N Bishop Ave
Dallas, TX 75208-4114
Phone (214) 388-8898
122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-6700
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-2455
2959 S Buckner Blvd
Suite 700
Dallas, TX 75227-6950
Phone (214) 206-4974
515 W Mayfield Rd
Arlington, TX 76014-2085
Phone (817) 467-1010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0017166 | TX | MD | Obstetrics & Gynecology Physician |
| M9632 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Stella Mattina Health Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Physician Associates of Southwest Dallas | Obstetrics & Gynecology | Current | Accepting new patients |
| Stella Mattina Primary Care Inc | Past | Accepting new patients | |
| Methodist Hospitals of Dallas | Past | Accepting new patients |
Locations
811 W Interstate 20
Ste 212
Arlington, TX 76017
Phone (214) 942-3100
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
1135 N Bishop Ave
Dallas, TX 75208
Phone (214) 388-8898
122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555
12377 Merit Dr
Ste 550
Dallas, TX 75251
Phone (214) 294-8989
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
6300 Samuell Blvd
Ste 154
Dallas, TX 75228
Phone (214) 388-8898
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
Interoperability endpoints
- jeffrey.sandate@smllc.eclinicaldirectplus.com
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1437353026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 N BISHOP AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752084114",
"telephone_number": "214-942-3100",
"fax_number": "214-942-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 N BISHOP AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752084114",
"telephone_number": "214-942-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDATE",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "BP1-0017166",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "M9632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201691701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Stephanie Sanchez
- Tanya L Sanchez, NP
- Yilda Sanchez
- Sanctuary Home of Kindness Specialized Living LLC
- Vinutha Sandadi
- Mykenzie Sandberg, DPT
- Glaiza-Mae Sande-Docor
- Sandeep a. Garg, M.D., P.a. (Apex Anesthesia Associates)
- Sandeep Gupta, MD, PA (North Texas Allergy & Asthma Associates)
- Sharon R Sandell, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.