Individual provider Active NPI

Mary Catherine Sargent, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Austin, TX
National Provider Identifier
1578595690
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
N4066 Issued in TX
Practice address
1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723-3077
Phone
(512) 478-8116
Fax
(512) 478-9368
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X N4066 TX
Pediatric Orthopaedic Surgery Physician 207XP3100X N4066 TX
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X N4066 TX Primary

Addresses

Primary practice location

1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723-3077

Mailing address

1301 Barbara Jordan Blvd
Suite 300
Austin, TX 78723-3077
Phone (512) 478-8116

Other identifiers 5

IdentifierTypeStateIssuer
2080327-05MedicaidTX
208032701MedicaidTX
8CD812OtherTXBCBS INDIVIDUAL #
208032702OtherTXMEDICAID CSHCN
2080327-06OtherTXMEDICAID CSHCN ROT

Other names 1

  • M Catherine Sargent Professional 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
I20091112000635 TX Practitioner - Orthopedic Surgery 8022030006 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4066TXMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Pediatric Orthopedics and Scoliosis Surgery PA Orthopaedic Surgery CurrentSince Nov 1, 2009 Accepting new patients
Central Texas Pediatric Orthopedics and Scoliosis Surgery PA Orthopaedic Surgery CurrentSince Nov 1, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 300
Austin, TX 78723

1301 Barbara Jordan Blvd
Austin, TX 78723
Phone (512) 324-0098

5100 W Highway 290
Bldg 2
Austin, TX 78735
Phone (737) 309-5617

1301 Medical Pkwy
Ste 330
Cedar Park, TX 78613

7200 Wyoming Springs Dr
Ste 700
Round Rock, TX 78681
Phone (512) 244-1615

Interoperability endpoints

  • Direct secure messaging: mary.sargent.1@16041.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1578595690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233077",
            "telephone_number": "512-478-8116",
            "fax_number": "512-478-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233077",
            "telephone_number": "512-478-8116",
            "fax_number": "512-478-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGENT",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N4066",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "N4066",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "N4066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080327-05",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208032701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "8CD812",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSHCN",
            "identifier": "208032702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSHCN ROT",
            "identifier": "2080327-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "SARGENT",
            "middle_name": "CATHERINE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.