Individual provider Active NPI

Jeffrey Scott Sandate, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1437353026
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M9632 Issued in TX
Practice address
1135 N Bishop Ave
Dallas, TX 75208-4114
Phone
(214) 942-3100
NPI assigned
Jun 14, 2007
Last updated
Dec 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201691701MedicaidTX

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
I20081125000333 TX Practitioner - Obstetrics/Gynecology 2961562699 Reassigns benefits to 3 organizations

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
Stella Mattina Health IncGroup PAC ID 5294116091, 11 clinicians
Physician Associates of Southwest DallasGroup PAC ID 3274519293, 37 clinicians
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

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

LicenseStateTypeSpecialty
BP1-0017166TXMDObstetrics & Gynecology Physician
M9632TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Oct 1, 2023 Accepting new patients
Stella Mattina Health Inc Obstetrics & Gynecology CurrentSince Mar 9, 2022 Accepting new patients
Physician Associates of Southwest Dallas Obstetrics & Gynecology CurrentSince Dec 16, 2014 Accepting new patients
Stella Mattina Primary Care Inc PastSince Nov 10, 2024 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.