Individual provider Active NPI

Jessica Zarah Sugianto, MD

  • Dermatopathology (Pathology) Physician
  • McKinney, TX
National Provider Identifier
1437389277
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
Q5932 Issued in TX
Practice address
5213 Virginia Pkwy
McKinney, TX 75071-5655
Phone
(972) 390-9002
Fax
(972) 767-4363
NPI assigned
Jul 14, 2009
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X Q5932 TX Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Q5932 TX

Addresses

Primary practice location

5213 Virginia Pkwy
McKinney, TX 75071-5655

Mailing address

1790 N Stonebridge Dr
McKinney, TX 75071-7437
Phone (972) 390-9002

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
I20151124001094 TX Practitioner - Pathology 5991028987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Southwestern Medical School at Dallas, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew D Barrows MD PAGroup PAC ID 6305894171, 23 clinicians

Practice addresses (Care Compare)

5213 Virginia Pkwy
McKinney, TX 75071-5655
Phone (972) 390-9002

Merit-based Incentive Payment System (MIPS)

Final score
76.77 of 100Reported as group
Quality
48.81
Promoting interoperability
100
Improvement activities
40
Cost
73.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5932TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew D Barrows MD PA CurrentSince Mar 1, 2023 Accepting new patients

Locations

1790 N Stonebridge Dr
McKinney, TX 75071
Phone 9723909002303

5213 Virginia Pkwy
McKinney, TX 75071

Organizations & group practices 1

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1437389277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 N STONEBRIDGE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717437",
            "telephone_number": "972-390-9002",
            "fax_number": "214-491-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 VIRGINIA PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715655",
            "telephone_number": "972-390-9002",
            "fax_number": "972-767-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIANTO",
        "first_name": "JESSICA",
        "middle_name": "ZARAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "TX",
            "license": "Q5932",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "Q5932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.