Individual provider Active NPI

Sandra Eileen Boenig, DO

  • Surgery Physician
  • Uvalde, TX
National Provider Identifier
1487628160
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L6993 Issued in TX
Practice address
1195 Garner Field Rd
Suite 300
Uvalde, TX 78801-4820
Phone
(830) 278-3086
NPI assigned
Feb 17, 2006
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L6993 TX Primary

Addresses

Primary practice location

1195 Garner Field Rd
Suite 300
Uvalde, TX 78801-4820

Mailing address

1195 Garner Field Rd
Suite 300
Uvalde, TX 78801-4820
Phone (830) 278-3086

Other identifiers 1

IdentifierTypeStateIssuer
L6993OtherTXSTATE LICENSE

Other names 1

  • Dr. Sandra Eileen Kuehler Former name

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
I20101101000929 TX Practitioner - General Surgery 2365636693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1195 Garner Field Rd
Suite 300
Uvalde, TX 78801-4822
Phone 83027862511175

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux17
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6993TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uvalde Medical and Surgical Associates Surgery CurrentSince Sep 19, 2010 Accepting new patients
Uvalde Medical and Surgical Associates CurrentSince Sep 19, 2010 Accepting new patients

Locations

1195 Garner Field Rd
Ste 300
Uvalde, TX 78801
Phone (830) 278-3086

1195 Garner Field Rd
Ste 400
Uvalde, TX 78801
Phone (830) 278-1652

1195 Garner Field Rd
Ste 500
Uvalde, TX 78801
Phone (830) 278-3027

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1487628160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 GARNER FIELD RD",
            "address_2": "SUITE 300",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014820",
            "telephone_number": "830-278-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 GARNER FIELD RD",
            "address_2": "SUITE 300",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014820",
            "telephone_number": "830-278-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOENIG",
        "first_name": "SANDRA",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L6993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "L6993",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "KUEHLER",
            "middle_name": "EILEEN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Uvalde, TX

Sources for this page

Verify at the official NPI Registry.