Active NPI
Sara M Despain, MD
- Family Medicine Physician
- Offutt AFB, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- V1761
- Practice address
- 2501 Capehart Rd
Offutt AFB, NE 68113-1043 - Phone
- (812) 219-4675
- NPI assigned
- Jun 26, 2013
- Last updated
- Aug 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | V1761 | TX | Primary |
| Family Medicine Physician | 207Q00000X | 7058 | NE |
Addresses
Primary practice location
2501 Capehart Rd
Offutt AFB, NE 68113-1043
Mailing address
2501 Capehart Rd
Offutt AFB, NE 68113-1043
Other practice location 1
11130 Christus Hls Fl Plaza33
San Antonio, TX 78251-3585
Phone (210) 703-9001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7058 | NE | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Gonzales Emergency Partners, PLLC | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Avera St Anthonys Hospital | Current | Accepting new patients | |
| Christus Santa Rosa Health Care Corporation | Past | Accepting new patients |
Locations
2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- sdespain423056@christushealth.direct-ci.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1346924008
-
- Critical Access Hospital
- O'Neill, NE
- NPI 1891738936
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba CHRISTUS Santa Rosa Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS Santa Rosa Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
-
dba Memorial Hospital
- Rural Acute Care Hospital
- Gonzales, TX
- NPI 1932108214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1669812376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CAPEHART RD",
"city": "OFFUTT AFB",
"state": "NE",
"postal_code": "681131043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CAPEHART RD",
"city": "OFFUTT AFB",
"state": "NE",
"postal_code": "681131043",
"telephone_number": "812-219-4675"
}
],
"practiceLocations": [
{
"address_1": "11130 Christus Hls Fl Plaza33",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782513585",
"country_code": "US",
"telephone_number": "210-703-9001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESPAIN",
"first_name": "SARA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "V1761",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "7058",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Offutt AFB, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.