Individual provider Active NPI

Sarah Sinclair Sanders

  • Physician Assistant
  • Decatur, TX
National Provider Identifier
1609508902
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1705 S FM 51 Ste 107
Decatur, TX 76234-3646
Phone
(940) 230-2580
Fax
(940) 900-0575
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

1705 S FM 51 Ste 107
Decatur, TX 76234-3646

Mailing address

5801 Golden Triangle Blvd Ste 103
Fort Worth, TX 76244-4411
Phone (940) 230-2580

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
I20240506003257 TX Practitioner - Physician Assistant 4284074303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Heart and Vascular Care PLLCGroup PAC ID 9234553454, 5 clinicians

Practice addresses (Care Compare)

8712 Medical City Way
Fort Worth, TX 76177-2414
Phone (817) 900-3000

National Provider Directory

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1609508902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 GOLDEN TRIANGLE BLVD STE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444411",
            "telephone_number": "940-230-2580",
            "fax_number": "940-900-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S FM 51 STE 107",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343646",
            "telephone_number": "940-230-2580",
            "fax_number": "940-900-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SARAH",
        "middle_name": "SINCLAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.