Individual provider Active NPI

Sandra D Adair, DO

  • Family Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1497784359
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3215 Issued in TX
Practice address
4951 Long Prairie Road, Suite 120
Flower Mound, TX 75028
Phone
(972) 691-9190
Fax
(972) 691-3841
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L3215 TX Primary

Addresses

Primary practice location

4951 Long Prairie Road, Suite 120
Flower Mound, TX 75028

Mailing address

4951 Long Prairie Road, Suite 120
Flower Mound, TX 75028
Phone (972) 691-9190

Other identifiers 2

IdentifierTypeStateIssuer
153242601MedicaidTX
153242602MedicaidTX

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
I20051014000344 TX Practitioner - Family Practice 7810912201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

4951 Long Prairie Rd
Suite 120
Flower Mound, TX 75028-2709
Phone (972) 691-9190

Hospital & facility affiliations

  • Aspen Healthcare Services Inc Home health agency, Lewisville, TX, CCN 743181
  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Family Medicine Past Accepting new patients
Jawad a Qureshi MD PA PastSince Jan 1, 2011 Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3355 Trinity Mills Rd
Ste 211
Dallas, TX 75287
Phone (972) 739-3097

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: sadair88561@direct.texashealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1497784359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 LONG PRAIRIE ROAD, SUITE 120",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-691-9190",
            "fax_number": "972-691-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 LONG PRAIRIE ROAD, SUITE 120",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-691-9190",
            "fax_number": "972-691-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "SANDRA",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153242601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153242602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.