Individual provider Active NPI

Sara Ann McGill

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1457037004
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4245 N Central Expy Ste 300
Dallas, TX 75205-4569
Phone
(972) 532-9968
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4245 N Central Expy Ste 300
Dallas, TX 75205-4569

Mailing address

3805 S HWS Cleveland Blvd
Omaha, NE 68130-5058
Phone (402) 669-7438

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
I20250317002798 TX Practitioner - Physician Assistant 7517489776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bent Tree Medicine PLLCGroup PAC ID 6204185127, 21 clinicians
Bent Tree Psychiatric AssocGroup PAC ID 9739124561, 43 clinicians

Practice addresses (Care Compare)

4245 N Central Expy
Suite 300
Dallas, TX 75205-4569
Phone (972) 532-9968

4245 N Central Expy
Suite 320
Dallas, TX 75205-4529
Phone (972) 532-9968

4245 N Central Expy
Suite 450
Dallas, TX 75205-4530
Phone (469) 379-8222

National Provider Directory

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

Organizations & group practices 2

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1457037004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 S HWS CLEVELAND BLVD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681305058",
            "telephone_number": "402-669-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 N CENTRAL EXPY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054569",
            "telephone_number": "972-532-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "SARA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.